Coding Accuracy
Claim Accuracy
Overhead Cost Savings
HEDIS Abstraction Done Right: Maximize Compliance and Reimbursement
With quality measures crucial for both reimbursement and patient care, accurate Healthcare Effectiveness Data and Information Set (HEDIS) abstraction and HCC coding are vital.
Optimize Revenue through Targeted HEDIS Coding
Our coding experts have extensive experience in capturing chronic conditions, comorbidities, and other risk factors that impact patient care. Our team ensures that all relevant diagnoses are accurately documented and coded to meet CMS and HEDIS requirements. Our support covers medical record review, extraction of relevant data points, assigning appropriate codes for accurate and consistent reporting, and compliance audits.
Benefits of Partnering with Us
- Experienced HCC coders
- Accurate risk adjustment
- Seamless integration
- Cost-efficiency
- Scalability
- Custom reporting
- Enhanced care quality
- Compliance assurance
- Scalability
- Continuous support
Top-Notch HEDIS Coding Expertise
Proficiency in coding
Experienced in ICD-10, CPT, CPT II, HCPCS, and other coding systems, our expert team can ensure accurate capture of diagnoses and services in claims data according to HEDIS specifications.
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Comprehensive review
We review patient charts, claims, and other records to identify and code all services and outcomes for comprehensive HEDIS reporting, ensuring critical information is not overlooked.
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risk adjustment
We ensure precise HCC coding for conditions like diabetes, kidney disease, and heart failure, which significantly affect risk scores and reimbursement levels for high risk patients.
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Rigorous auditing
Our regular audits and validations ensure coding accuracy, meticulously addressing flaws that could result in compliance risks or lost revenue, maintaining the integrity of the coding process.
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Up-to-date knowledge
We stay updated on NCQA’s HEDIS measures and CMS risk adjustment updates, and changes that influence HEDIS coding requirements, aligning with industry standards and best practices.
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Timely reporting
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HEDIS Medical Record Review
Data extraction
Compliance comparison
Gap identification
We serve all 50 states
HEDIS Coding Process
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3
4
Patient Record Review
Accurate Coding
Data Validation
Reporting and Submission
Affordable and Flexible Pricing Options
Full-Time Equivalent
Why Choose Us as Your Medical Coding Outsourcing Partner
- Dedicated project manager to oversee your account
- Leverage expertise: maximize reimbursement and minimized denials
- Cost savings: Achieve 30-40% savings on overhead costs
- Experience flexibility: no long-term contracts or upfront fees
- Rigorous quality assurance: ensure accurate coding and compliance
- Fast turnaround: Quick processing times, timely submissions and reimbursements
- Specialty-specific expertise: tailored coding solutions across various specialties
- Stay updated on regulations: meet compliance requirements
- Implement best practices: optimize your coding processes
- Seamless integration, smooth workflow: We operate as an extension of your practice
FAQs
What is HEDIS coding?
Why is HEDIS coding important?
What are the qualifications of your HEDIS coding team?
How does HEDIS coding affect reimbursement?
What types of data are collected during HEDIS coding?
How often are HEDIS measures updated?
What is the process for HEDIS medical record review?
How can your services help improve HEDIS scores?
How do I get started with your HEDIS coding services?
Contact us for a consultation. We’ll discuss your specific needs and develop a customized solutions to enhance your HEDIS coding and reporting processes.
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