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

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 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