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