Medical Coding Services

Utilizing our thorough processes built upon the highest standards, you can expect comprehensive, efficient, and end-to-end risk adjustment coding services that will positively impact your healthcare organization.

Our healthcare payer services encompass:

• Hierarchical Condition Category (HCC) coding review
• Risk Adjustment Data Validation (RADV) audit support
• Risk Adjustment Factor (RAF) optimization
• Diagnosis Related Groupings (DRG) validation
• Payment integrity audits
• Correct coding audits based on NCCI principles(VA/VE)
• E/M level utilization and benchmarking
• Medical necessity audits
• Clinical reviews - Workers comp, auto no fault