Risk adjustment coding, done carefully.
Retrospective review, prospective support, and audit preparation for organizations that need coding they can defend.
What we do
Retrospective chart review
Systematic review of the medical record against submitted diagnoses. We identify conditions supported by documentation and, just as importantly, flag those that aren't.
Prospective review
Pre-visit chart preparation so providers walk into the encounter knowing which chronic conditions need to be addressed and documented this year.
Coding quality audits
Independent review of internal or vendor coding work, scored against CMS-HCC criteria and MEAT/TAMPER documentation standards.
RADV audit support
Preparation and record organization ahead of a Risk Adjustment Data Validation audit, plus review of the documentation supporting sampled HCCs.
Provider documentation education
Targeted feedback to clinicians on how their notes read to a coder and an auditor — specificity, linkage, and status of chronic conditions.
How we work
Scoping call.
We look at your population, your current process, and what's actually causing you trouble.
Baseline sample.
A limited review that tells you where documentation is strong and where it isn't, before you commit to anything larger.
Engagement.
Defined scope, defined deliverables, fixed or per-chart fee. You always know what you're paying for.
Findings and education.
You get the coding work and a summary of the documentation patterns behind it, so the same gaps don't recur.
Who we work with
Independent physician practices·Primary care groups·ACOs·IPAs·MSOs·Health plans