Service Overview

We offer a full-service HCC coding solution for all risk adjustment coding: ACA-Commercial, Medicare Advantage, and Managed Medicaid. Our compliance-based approach to medical record coding is delivered by AAPC or AHIMA certified coders who capture or suggest deletion of risk adjusting diagnostic codes and can also perform data validation audits

• Front-end analytics services for suspecting of patient conditions

• Prospective risk adjustment reviews

• Retrospective risk adjustment reviews

• Concurrent risk adjustment guidance

• Risk adjustment educational programs (CMS-HCC, HHS-HCC, commercial exchange and Medicaid managed care)

• Risk adjustment data validation (RADV)

• NLP risk adjustment coding audit

• Pre Authorization

• Eligibility and Benefits Verification

• Coding and Billing

• Charge Posting

• Submitting claims

• Clearing house denial

• Payment posting

• AR follow ups and Denial Management

• Indexing Services

• Credentialing services