Coding

All You Need to Know from Chargemaster to Coding Denials

We have spent years building this company to provide
the best of contract coding, validation, and auditing services.

Chargemaster Services

  • Consultants have a clinical background and coding credential which ensure customers are charging every service efficiently and accurately
  • Minimum Empirical ROI is 300%
  • Comprehensive Reviews are completed in 6 weeks
  • Comprehensive on-site reviews completed with department managers to identify coding discrepancies
  • Emphasis on every line item in the chargemaster
  • Ability to offer outsourced chargemaster services
  • Geographic pricing and strategic pricing reviews
  • Maintain charge description
Stethoscope with Examine pad

Contract Coding

  • On-demand coding
  • Services for hospital provided on- or off-site
  • Historically 98% accuracy level
  • Productivity rate of ICD-10 between 90-95%
  • Experienced, domestic AHIMA credentialed
  • Coders with an average of 15 years of industry experience
  • Contract Coding helps clients ensure compliant and accurate billing.

Validation and Auditing

  • Dedicated staff of credentialed consultants, who are highly specialized in clinical coding validation
  • Over 25 years+ of experience in coding validation services
  • Auditing of pre-and post-billing coding to ensure ongoing coding accuracy and compliance
  • Coding validation significantly impacts compliance, cash flow, and revenue generated by each individual case
  • Education provided to coders and physicians, based on findings
  • Certified coders fully equipped to handle the granularity and complexity of ICD-10
  • All validators have official ICD-10 CM & PCS training and/or are AHIMA ICD-10 Certified Trainers and Managers

Coding Denials

  • Coding denials are a top issue for hospitals, costing most healthcare organizations up to 4% of their net revenue
  • Hired by hospitals to appeal claims previously denied based upon inaccurate coding or medical necessity
  • Auditing services not only recover revenue from denied claims but also works with hospitals to prevent future denials
  • Success in 92% of accounts deemed viable for appeal