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CODEMED's comprehensive Risk Adjustment Coding Audit Solutions help our clients optimize revenue and quality, through our industry-leading, credentialed experts and advanced analytics, while maintaining coding and documentation compliance.

 

CODEMED offers a complete coding package for all risk adjustment payment models, ensuring the accuracy of coding capture meets the highest level of specificity supported by the appropriate documentation of the health status, demographic data and severity of illness of each patient population reported on a claim submitted via RAPS or EDPS format.

Risk Adjustment Coding Audit Solutions

Risk Adjustment Coding Audit Solutions

Improve revenue. Influence quality of care. Create a sustainable revenue cycle solution in an efficient and compliant manner.

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CODEMED is an organization of professional certified specialists who provide effective coding solutions for clinical documentation, abstracting of demographic factors, clinical statistical analysis, and the various forms of risk adjustment methodologies such as CMS-HCCs, HHS­-HCCS and others, including the reimbursement methodologies of government, private, and commercial insurance programs across both inpatient and outpatient settings.

CODEMED's comprehensive Risk Adjustment Coding Audit Solutions help our clients optimize revenue and quality, through our industry-leading, credentialed experts and advanced analytics, while maintaining coding and documentation compliance.

 

CODEMED offers a complete coding package for all risk adjustment payment models, ensuring the accuracy of coding capture meets the highest level of specificity supported by the appropriate documentation of the health status, demographic data and severity of illness of each patient population reported on a claim submitted via RAPS or EDPS format.

CODEMED's comprehensive Risk Adjustment Coding Audit Solutions help our clients optimize revenue and quality, through our industry-leading, credentialed experts and advanced analytics, while maintaining coding and documentation compliance.

 

CODEMED offers a complete coding package for all risk adjustment payment models, ensuring the accuracy of coding capture meets the highest level of specificity supported by the appropriate documentation of the health status, demographic data and severity of illness of each patient population reported on a claim submitted via RAPS or EDPS format.

Chart Review & Risk  Adjustment Coding

 

CODEMED’s highly qualified, credentialed coders (AHIMA/AAPC) understand the importance of compliance. Chart review assists in capturing missing risk adjusting diagnoses; hence, beneficiaries are appropriately risk adjusted. Resulting in premiums adjusted accurately.

Risk  Assessment and Educational Services

 

CODEMED’s experts provide a comprehensive assessment of the current state of HCC capture. Based on the results of the assessment, CODEMED offers customized education for your staff: in-services and training that show the way to effect coding practices and problem free clinical documentation measures.

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