Discover the pros and cons of AI-augmented risk adjustment and how tech + expertise drive results.

Quality Documentation

Improving Accuracy & Data Integrity

Review

Defensible, Audit-Ready Records

Automation

Automating Clinical Documentation

Education

Training Teams for Documentation Accuracy

Compliance & Risk-Based Training

Risk-Focused Documentation Compliance

Demographic Registration

Accurate Data From First Touch

Prior Authorization

Preventing Delays Before Care

Charge Capture

Capturing Charges Without Leakage

Edits & Rejections

Reducing Claim Errors Early

Denials Management

Recovering Revenue From Denials

Payment Posting

Accurate Payments, Faster Close

Credit Balances

Resolving Credits With Precision

Insurance Follow-Up

Accelerating Payer Responses

Correspondence & Appeals

Strengthening Payer Appeals

Concurrent Coding

Real-Time Coding for Better Outcomes

HCC Coding

Improving Risk Capture Accuracy

Inpatient & Outpatient Coding

Precise Coding Across Care Settings

Ancillary Coding

Complete Coding for Ancillary Services

CPT, DRG & HCPCS Optimization

Optimized Codes for Proper Reimbursement

Revenue Integrity

Protecting Revenue Through Coding

Population Health & RAF Optimization

Optimizing RAF for Population Health

Risk Adjustment Analytics

Analytics-Driven Risk Adjustment

Audit & Quality

Audit & Quality Services

Outpatient Care, Optimized

Reduce administrative burden, improve accuracy, and right-size revenue recognition gaining critical insights to enhance efficiency

We understand the challenges you are facing

Central Oversight

Applying best practices across specialties and modalities while maintaining central management and oversight.

Risk & Documentation Accuracy

Ensuring accurate risk adjustment and clinical documentation while supporting fee-for-service billing and coding.

Regulatory Compliance

Managing changing regulations and best practices efficiently and cost-effectively.

Productivity Drains

Administrative tasks reduce provider productivity.

Coding Performance

Evaluating coding and documentation performance and implementing effective solutions.

Revenue Pressures

Downward adjustments to insurer fee schedules force operators to do more with less.

Unified Workflow:

We use a unified workflow to optimize both value-based care and fee-for-service performance.

Rigorous Training:

All employees undergo rigorous training on guidelines and proprietary best practices before working with clients.

Data-Driven Insights:

Comprehensive data tracking enables detailed performance reports and identifies issues at both practice and provider levels.

Speciality Expertise:

Our teams focus on up to three specialties to ensure expert-quality work across multi-specialty organizations.

Our Results

Driving results for traditional,
Fee-For-Service organizations

Work relative value units (wRVU) increase
0 %
Evaluation and Management (E/M) and Procedure volume increase
0 %

Meaningful impact for organizations
in Value-Based Care models

Annual Wellness Visit (AWV) capture rate increase
0 %
Transitional Care Management (TCM) reporting increase
0 %
Overall RAF score increased
0 %
Depression Screening reporting increase
0 %

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