Services
Careful work, start to finish.
Audit defense, chart review, coding support and CDI programs for health plans and provider groups, from certified coders and CDI specialists.
RADV audit defense
For health plans facing a CMS Risk Adjustment Data Validation audit. We prepare, validate and respond with you, start to finish.
Pre-audit review
Find the members and conditions most likely to be questioned.
Record retrieval and preparation
Gather the right records from the right providers and put them in order.
Validation and discrepancy review
Check every submitted condition against what the record actually supports.
Response and submission
Prepare your response to CMS, with support through appeals and corrective action.
Included
For health plans
Chart review, before and after the visit.
Prospective review
So the provider walks into the visit with the full picture.
Retrospective review
So what was submitted matches what the record supports.
Reporting
Plain reports your leadership can read in one sitting.
For provider groups
Support at the point of care.
Coders and CDI help inside your workflow, and training your providers will actually finish.
Point-of-care coding support
Embedded or remote certified coders.
CDI query development and training
Compliant, clear queries and the workflow to send them.
Annual wellness visit support
Templates and prep so the visit is documented completely.
Provider-level reporting
Where each provider's notes hold up, and where they don't.
Specificity education
Through the academy, or live sessions built on your own findings.
How an engagement runs.
Discovery
We look at your data and your workflow before proposing anything.
Design
Scope, team, and the measures we agree to report on.
Delivery
One lead for your account, and work you can see as it happens.
Reporting and handoff
What we found, what changed, and what your team keeps doing after.
A set scope with a clear end, like an audit.
Ongoing review and support through the year.
Our coders working as part of your team.
Medicare Advantage, ACA and Medicaid programs · HIPAA-compliant operations
Talk to someone who does this work.
A short call about your program and where we can help. No commitment.
Book a callOr see the training first.
One short module, the same kind your team would play. It only asks for an email.
Try a case