With an ever-changing healthcare landscape and regulatory updates that occur almost daily, it is imperative to stay on top of all industry changes in order to maximize revenue and maintain compliance. Our AAPC and AHIMA certified coders are up-to-date with the latest industry changes, whether it is ICD10-CM, ICD-10-PCS, CPT, HCPCS or others, our deep and broad experience provides our clients with a team of medical coding experts who ensure that our clients are properly maximizing their revenue in a compliant and accurate fashion.
Utilizing our thorough processes built upon the highest standards, you can expect comprehensive, efficient, and end-to-end risk adjustment coding services that will positively impact your healthcare organization.
Our healthcare payer services encompass:
- Hierarchical Condition Category (HCC) coding review
- Risk Adjustment Data Validation (RADV) audit support
- Risk Adjustment Factor (RAF) optimization
- Diagnosis Related Groupings (DRG) validation
- Payment integrity audits
- Correct coding audits based on NCCI principles(VA/VE)
- E/M level utilization and benchmarking
- Medical necessity audits
- Clinical reviews - Workers comp, auto no fault
Top 10 HCC Diagnoses To Focus Teaching On and Why
According to the Centers for Disease Control and Prevention (CDC), chronic disease is responsible for seven of ten deaths each year, and treating people with chronic diseases accounts for 86% of our nation’s total healthcare costs.
The Significance of CDI and Its Impact on the Risk Adjustment Factor
A large hospital system from the east coast was concerned about poor documentation and its effect on their RAF (Risk Adjustment Factor).
Partnering for Long - Term Growth
In late 2013, many experienced and successful joint-venture, urgent care organizations were faced with a major problem. Delivering high-quality work, with world-class customer service, while undergoing rapid growth was a challenge for most.
Coding Assistance Platform: CAP Helps to Deliver High Quality and Fast Turnaround
The Hierarchical condition category (HCC) coding division at Vee Technologies was growing quickly. Staffed with over 500 coders, Vee Technologies required efficiency in mass chart volume management with superior quality standards.