The Problem: Unsubstantiated Diagnosis
As much as 32% of all medical records contain unsubstantiated diagnosis. To ensure accuracy and compliance, our quality assurance program is one of the most robust in the industry. For each program, we audit no less than five percent of each coder’s work and 100% of charts yielding new HCCs.
The Solution: Medical Record Retrieval & Review
Features
- Track the progress of each record request with detailed notes from our retrieval agents
- Central record repository for immediate access by any authorized requestor
- Chart review for retrospective, prospective, audits, RADV, HEDIS, special projects and physician education
- Comprehensive workflow tools for large scale project management
- Risk adjustment coding for all conditions
- Perform a full quality review of all coding activities
- All coders certified by AAPC or AHIMA
Benefits
- Capture as many undocumented HCCs as possible
- Maintain strict adherence to CMS guidelines
- Chart review process can be customized to plan’s specific needs
- Provide coding training for staff and providers
Next Steps
Medical Record Retrieval & Review
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