Transform Your Medical Billing Experience

1. HCC chart review
2. Risk adjustment coding
3. Retrospective chart review
4. Prospective chart reviewŚ
   HCC gap identification
5. Coding accuracy audits
6. Provider documentation feedback
7. Risk adjustment compliance support

1. Office and outpatient E/M
2. Hospital E/M
3. Emergency department coding
4. Consultation-related coding where applicable
5. Telehealth coding
6. Preventive services
7. Chronic care-related services
8. E/M documentation review

1. Cardiology
2. OphthalmologyŚ
3. Urology
4. Dermatology
5. Primary care
6. Internal medicine
7. Behavioral health
8. General surgery
9. Pain management

1. Diagnosis coding
2. Procedure coding
3. E/M coding
4. HCC coding
5. Risk adjustment coding
6. Documentation and code relationships
7. Coding guideline compliance
8. Modifier usage
9. Under-coding and over-coding risks

Accurate coding depends on clear and complete clinical documentation.

Our documentation review services help identify situations where the medical record may not clearly support the reported diagnosis or where additional clinical specificity may be appropriate.

We focus on identifying documentation opportunities, rather than adding diagnoses that are not supported by the medical record.

This can be especially valuable for chronic conditions and risk-adjustment/HCC programs.

1. Quality assurance is an important part of our coding process.
2. Our QA process may include:
3. Review of clinical documentation
4. Code assignment
5. Coding guideline validation
6. Secondary quality review
7. Identification of discrepancies
8. Correction and feedback
9. Final quality validation