Shaping Digital Solutions - Coding
Health Information Management
Coding Oasis
For hospitals and physician practices, two primary goals in billing for clinical services are crucial: optimizing revenue and minimizing regulatory risk. With a growing intricate regulatory landscape and heightened scrutiny from federal and state audits, medical billing and coding must adhere strictly to healthcare laws and regulations.
Furthermore, significant revenue losses stemming from inadequate medical coding can profoundly affect financial performance. Issues such as ICD-10 implementation, evolving payer structures, payer inaccuracies, denials due to unspecified codes, increased denials based on medical necessity, and delays or reductions in payments pose serious risks to healthcare organizations.
PROFICIENT CODING
We enhance accuracy through continuous, periodic, or one-time coding support across all medical specialties.
Our commitment to precision and timely service ensures correct and optimal reimbursement.
TAILORED CODING
Our experts manage diverse chart types, including inpatient, emergency departments, ambulatory care, radiology, and surgery centers. We also have specialists for complex, high-value coding like interventional radiology and cardiac catheterization.
RISK WEIGHTED CODING
We perform retrospective coding for Medicare, Commercial/HIX, and Medicaid using CMS-HCC, HHS-HCC, and state-specific Medicaid models.
We ensure top-notch coding quality with rigorous quality checks conducted throughout the process.
CODING & Health Information Management
Accurate medical coding must be matched with fair and optimal payment for services. Given the volatile regulatory environment, evolving care models, shifting self-pay patient demographics, and increasingly complex federal audit requirements, the stakes are higher than ever.
Our expert coding services enhance client accuracy, turnaround times, productivity, and adaptability. Operating within a regulated, HIPAA compliant framework, HUBSEVEN provides exceptional coding results efficiently and cost-effectively.
Our specialized coding services are available both as part of our comprehensive Revenue Cycle Management solution or as a standalone offering.
Our services in Health Information Management are not limited to:
Improving Clinical Documentation
Audits in Coding
Clinical Abstraction
Remote Coding Solutions