Certified coding experts ensure accuracy from the very first review, capturing all valid and supported diagnoses to reflect each member’s true health status. By getting it right from the start, we strengthen data integrity, reduce rework, and support precise reporting while delivering top-tier accuracy at a highly competitive price. Click here for more info. 

An analytically driven medical record review service focusing on revenue potential and protection. This service looks for supporting documentation to verify previously submitted diagnosis codes and ensure all existing codes are captured for risk adjustment.

A retrospective medical record review with a unique approach. Backed by industry-leading analytics, this multiphase review provides a roadmap for increasing accuracy and ensuring all existing codes are captured, thereby maximizing risk adjustment revenue.

A strategically driven audit leveraging our analytic engine and stratification approach to verify previously submitted diagnoses and provide risk-aware health plans with revenue protection prior to an audit.

A series of medical record reviews that are conducted during the current benefit year that allow for the optimization of all coding and documentation opportunities.

Enabling near real-time medical record coding, these reviews help ensure coding accuracy and regulatory compliance, optimize reimbursements, and strengthen risk adjustment strategies. For healthcare providers, this approach enhances operational efficiency and streamlines workflows, making it a vital element in the quality assurance and financial oversight of health plans.