Risk Adjustment Coding
Pro1Health specializes in providing top-tier risk adjustment coding solutions tailored to the unique needs of healthcare providers. Our services are designed to ensure accuracy, compliance, and optimized revenue for our clients.
Creating Efficiency, Improve Operational Profit
Our risk adjustment coding services are designed to ensure that healthcare providers are reimbursed accurately for the intensity of the medical care they provide. Through our advanced coding practices, we help in identifying and correcting miscoded, un-coded, or under-coded charts. This not only ensures compliance with CMS guidelines, but also improves the financial performance of healthcare providers by capturing all relevant diagnoses.
Deliver Excellence in Risk Adjustment Coding
Comprehensive Chart Review
Detailed examination of patient medical records to ensure every diagnosis is accurately captured and coded.
Accuracy in HCC Coding
Specialized in HCC coding to accurately reflect patient health status and ensures appropriate risk adjustment.
Global Delivery Team
Certified coders with rich experience in HCC coding
Compliance Audits
Rigorous audits to ensure coding practices are compliant with CMS guidelines and other regulatory standards.
Data Validation and Analysis
In-depth analysis of coding data to identify trends, anomalies, and opportunities for improvement.
Benefits
Partnering with Pro1Health for your risk adjustment coding brings numerous advantages
Enhanced Accuracy and Compliance
Our expert coders ensure the highest levels of accuracy, reducing the risk of errors and non-compliance.
Optimized Revenue
Accurate coding leads to proper risk assessment, ensuring that healthcare providers are reimbursed appropriately.
Reduced Administrative Burden
Our services streamline the coding process, allowing healthcare providers to focus more on patient care.
Data-Driven Insights
We provide valuable insights from data analysis, aiding in strategic decision-making for healthcare practices.
Customized, Flexible Solutions
Our approach is tailored to meet the specific needs of each client, ensuring the most effective outcomes.
Continuous Support
We offer ongoing support to meet with the latest coding standards and practices.
People Advantage
Our success is attributed to the large offshore resource pool of certified FTEs with rich experience in process management, coding, billing, and Reimbursement. Our focus revolves around intensive and continuous employee training, providing broad spectrum of education and training in revenue cycle management, risk adjustment coding and compliance requirements.