You have a host of revenue challenges. We have a suite of audit solutions that will fortify vulnerabilities in your compliance program and resolve key risk areas — driving accuracy, profitability, and peace of mind.
Maximize efficiency, mitigate risk, and prevent revenue loss with our prospective and retrospective multi-tier chart reviews. Conducted by a team built for your specialty, patient population, and place of service, we help identify and nullify vulnerabilities — before they become liabilities.
Remedy compliance risks with an HCC audit that ensures your documentation supports your diagnosis coding. Our RA solutions find undocumented chronic conditions in approximately 95% of the medical charts we retrieve, review, and code.
Protect against negative cash flow with our documentation improvement services. Our specialists will help you increase DRG accuracy rate, identify overlooked CC/MCCs and missed query opportunities, safeguard against clinical liabilities, improve patient care and clinical outcomes, and more.
Optimize the overall health of your revenue cycle with complete front-end to back-end solutions. We identify your revenue cycle strengths and weaknesses and provide custom solutions that ensure efficiency, compliance, and optimal earned reimbursement.
Overcome your reporting shortfalls — whether your organization has been challenged by E/M coding, encounter details, medical necessity, level of specificity, shared/split visit documentation, or guideline requirements. Our customized training services deliver concrete results and will guide your team over the reimbursement and regulatory hurdles in your path.Available onsite or remotely, our flexible training options include post-audit education, provider training, HCC risk adjustment training, and specialty or focused education tailored to your staff and patient population. A dedicated project manager and our expert team of certified coders, auditors, and trainers will set you on the path to success, helping you to:
Understand and correct documentation gaps
Optimize EHR usage
Reduce stress from the unknown
Identify process improvement opportunities
Affirm or correct code selections
Direct provider attention to patient care
Let's work together.
Don't see what you need? Tell us about your challenges and we'll create a solution tailored specifically for your organization.
CPC, CPCO, CPPM, VP Coding Compliance, Summit Health
Managing Partner, Basin Billing LLC
Director of Corporate Compliance and Assurance, Santa Rosa Community Health