CODING AND HIM SOLUTIONS
Coding Corner: Crafting Digital Solutions
Comprehensive medical coding services and solutions to reduce compliance risk and help to recover lost revenue opportunities
For hospitals and physician practices, two objectives matter most when it comes to billing for clinical services: maximizing revenues and reducing the regulatory risk. Faced with an increasingly complex regulatory environment and aggressive federal and state audit initiatives, medical billing and coding operations at hospitals and physician practices must comply with all applicable healthcare laws and regulations.
Additionally, Major lost revenue from poor medical coding practices can significantly impact the financial performance. From ICD-10 to changing payer structures, the industry is experiencing troubling in reimbursement trends like payer inaccuracies, denials due to unspecified codes, an increase in medical necessity denials, slower and underpayments – all of which put a healthcare organizations at risk.
PROFESSIONAL CODING
We help you improve accuracy with ongoing, periodic or one-time coding assistance across all medical specialties.
Guaranteed accuracy and turnaround time lead to accurate and appropriate reimbursement.
FACILITY ORIENT CODING
Experts to handle various chart types including inpatient, emergency departments, ambulatory care, radiology, and surgery centers. Specialists to handle complex, high-value coding such as interventional radiology and cardiac catheterization.
RISK ADJUSTMENT CODING
Retrospective coding for Medicare, Commercial/HIX and Medicaid using models: CMS-HCC, HHS-HCC, and State-specific Medicaid.
Assure the highest standards of coding quality, with quality checks occurring throughout the process.
COMPREHENSIVE MEDICAL BILLING SOLUTION
Coding/Health Information Management (HIM)
Compliant medical coding must be accompanied by fair and optimum rendered service payments. With the volatile regulatory market, emerging shifts in care based models, a shifting self-pay patient base, and increasingly complex requirements of federal audits, the stakes have never been higher.
Our specialized coding expertise optimizes our client accuracy rates, turnaround times, productivity and need for flexibility. Within a regulated, HIPAA compliant environment, ArzionRCM delivers extraordinary coding results, in a much value-effective manner.
Our specialized coding services can be packaged in our end-to-end Revenue Cycle Management offering or as a single standalone service.
We follow these processes to accomplish quality-driven results for our clients:
- Hiring and development of industry-best coders
- Utilizing proven multi-step quality assurance processes
- Utilizing process improvement tools like HKPD (Hoshin Kanri Policy Deployment) and Six Sigma
- Experience with numerous HIS and coding systems, including EPIC, Cerner, Siemens, MEDITECH, 3M, Sorian, Optum and eClinicalWorks
- Millions of charts coded/reviewed every year for acute care hospitals, academic hospitals, urgent cares, physician groups ACOs, and payers
ArzionRCM provides the following services in Provider Health Information Management
- Clinical Documentation Improvement
- Coding audits
- Clinical abstraction
- Remote coding
