Medical Coding Analysis
Precise ICD-10-CM, CPT, and HCPCS Level II coding audits conducted by certified professionals to protect your practice and optimize legitimate revenue.
Comprehensive Service Overview
Accurate medical coding is the linchpin of clean claims. Our team of certified professional coders (CPC, COC, CCS) analyzes patient encounters to ensure every documented diagnosis and treatment is coded to the highest level of specificity, mitigating audit exposure while maximizing justified revenue.
Core Capabilities & Deliverables
Clinical Chart Review
In-depth validation of physician documentation to support appropriate E/M level selection and medical necessity.
NCCI & Payer Edit Scrubbing
Applying National Correct Coding Initiative bundled-code rules and modifier validation (-25, -59, -X{EPSU}).
ICD-10 Specificity Mapping
Capturing hierarchical condition categories (HCC) and complete chronic condition risk adjustment coding.
Coding Compliance Audits
Regular internal spot-checks and provider education sessions to maintain flawless audit readiness.
Our 4-Step Execution Process
Documentation Ingestion
Securely reviewing electronic health records and encounter notes.
Certified Review
CPC-credentialed coders assign compliant ICD-10, CPT, and HCPCS codes.
Quality Check
Secondary peer verification on complex surgical or high-dollar encounters.
Provider Feedback
Ongoing clinical documentation improvement (CDI) tips provided to physicians.
Expected Practice Outcomes
All Medical Billing Services
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