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We specialize in HCC, 5 Stars and Risk Adjustment Coding. Our staff is made of physician coders, AHIMA and AAPC certified coders with over 10 years of experience in clinical as well as HCC coding. In conjunction with several prestigious health plans and a number of successful IPAs. Our clients have had increase of up to or close to 0.3 to 0.4 in their over all RAF scores or have been able to maintain their scores even with CMS cutbacks. Our return of investment has been estimated at 3.3 to 1.

♥♥♠♠HCC Code of the day:        D69.2   Other nonthrombocytopenic purpuras ♦♦♣♣

 

Services offered by Coding Organization

 

1- Physicians and office staff In-service and updates in regards to HCC & Risk Adjustment coding to optimize RAF scores along with updates on 5 Star Quality Measures.

2- On and off site chart review, code extraction and submission to health plans also suggesting documentation guidelines to help pass future audit.

3- Trouble shooting for coding, billing and submission issues encountered in physician offices.

4- Chart retrieval, scanning, review for extraction of codes and billing tips.

5- Data validation and Analysis of previously submitted codes with optimization of billing and coding techniques to help facilitate reconciliation of payments.

6- ICD 10 one on one or group type training with certified AHIMA and AAPC ICD 10 trainers and physcian coders.

7- Development and implementation of Annual Health Assessment forms with up to date RAF criteria and 5 star quality measures which includes Care for Older Adults.

8- EMR updates, trouble shooting and consultations along with basic training and expert advise on variety and numerous, common EMR softwares used by majority of clinicians.

9- Prepare the physician office for the possible RAD-V or other CMS audits.