Risk Adjustment Coding: Addressing Accuracy, Quality and Productivity
About the Client Organization A world-class academic healthcare system with
Dedicated teams of certified coders to reduce coding backlog and improve quality.
Proficiently identifying revenue integrity issues and opportunities through HCC Risk Adjustment guidelines
Enhance revenue from improved documentation and accurate CPT coding through identifying key clinical documentation gaps, recognizing query opportunities, and educating physician providers
Ensuring codes and modifiers are driving the correct payment (i.e. from Outpatient Facility, ProFee, Clinic, Labs & Diagnostics, Recurring conditions, to those most complex Obs, SDS, ED, etc)
Maximizing Home Health payments based on PDGM through accurate coding, OASIS assessments, as well as Plan of Care (POC) reviews
Reduce AR (accounts receivable burden) through accurate and timely completion of diagnosis, PCS coding, and DRG assignment
Customized Audits save you time and money (e.g. DRG audits)
compared to offshore industry average of 91%
All of our coders are certified and many are dual certified BSNs
Review our real-life examples of custom solutions we have created for coding clients just like you.
About the Client Organization A world-class academic healthcare system with
About the Client Organization A leader in homecare, palliative, and
Fortune 500 National Health and Wellness Organization
20 Burton Hills Blvd., Suite 400,
Nashville, TN 37215
615.921.9510
info@swhealth.com