We are RNs, AHIMA Certified Coders, AHIMA and ACDIS certified clinical documentation specialists, and a panel of Board-Certified Physicians with expertise in coding and evaluating medical record documentation for accuracy and sufficient clinical support to justify assigning a code.
We review only those claims that are likely to have errors and cost savings.
We work within your timeframes, using regulatory standards, and recognized ICD-10 CM and PCS Official Guidelines.
No artificial quotas that result in over-aggressive denials; multiple vectors applied to reviews, signed agreements with providers on an acceptable alternate DRG.
Programs tailored to your priorities and the sensitivities of your provider relationships; customized to best suit your corporate culture and philosophy.