Concurrent Audit

Ensure correct HCC capture the first time around.

Detailed Coding = Maximum Reimbursement

Valid & Accurate Insurance Payments The First Time

In a concurrent coding review process, coders review the EHR/medical notes and HCC codes in real time before the claims are submitted to payers.  This process helps ensure the diagnosis coding accurately supports what the physician documented in the EMR.   In many cases, the physician will perform robust clinical documentation but may not select the most appropriate ICD-10 code.  First, it ensures that the physician’s hard work in delivering and documenting care is correctly translated into the accurate HCC codes.  Second, it ensures the payers have the correct HCC codes on the initial claim, eliminating the need for an additional retrospective review and loss of revenue.

If your practice currently uses a fee-for-service or a value based model, we can help streamline your system and maximize accuracy, compliance and profitability. If you are looking to transition away from a fee-for-service model to a value based we can assist you thru the process, making it quick and painless.

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