HIM, Medical Coding, and Clinical Documentation Improvement Services for Hospitals

We take a three-pronged approach to improving clinical documentation and revenue assurance. Our team members focus on:

1. Enhancing quality of coding across inpatient, outpatient, and emergency department settings

2. Building stronger relationships with clinicians by taking an iterative approach to improving clinical documentation, reducing discharges not fully billed, improving revenue integrity, and plugging revenue leakage

3. Reducing costs of HIM and coding functions by applying technology and seasoned global delivery workforce

Medical Coding

Our coding services portfolio includes:

• Medical Coding Audit Services. We perform chart reviews and audit the codes ascribed by onshore coding teams. Our coding auditors focus on eliminating coding errors. 

• Coding Denial Management. Coding denials are a significant component of claim denials.  Our coding team reviews the documentation. Corrects the codes and refiles claims to get reimbursements. 

Service Inclusions

Our flexible coding outsourcing solutions for inpatient, outpatient, and emergency departments include the following:

• ICD-10-PM, CPT, HCPCS coding, and ICD-10-PCS coding

• DRG coding

• Chart Audits and Code Reviews

• HCC coding

• Offshore coding audits

• Payer specific coding requirements

• Coding Denials analysis and root-cause elimination

Benefits

We offer the following benefits to our coding clients:

• A certified local and offshore pool of AAPC, AHIMA, or AAHAM certified coders

• Strong coding training and continuous education framework

• Autonomous coding capabilities

• Mature coding quality and compliance framework

• Experienced coders who can identify revenue leakage via DNFB cases

• Performance guarantees for quality and turnaround

HIM Services

The clinical and financial information of a claim converges in the Health Information Management (HIM) function. The objective of the process is to ensure complete clinical documentation, identify opportunities to plug revenue leakage, increase reimbursements, and assure revenue integrity.  Access Healthcare's HIM team works as an extension of your HIM department and performs MS-DRG and APR-DRG validations, compliance reviews, and coding education and audit services.

Service Inclusions

• Audit and review of your inpatient/outpatient/ED coding quality

• Publishing detailed results of HIM and CDI process KPIs

• Review of inpatient and outpatient coding quality

Benefits

Access Healthcare's team of seasoned HIM and CDI professionals: 

• Review coded charts to ascertain the accuracy

• Tailor clinician education programs and work with clinicians to plug revenue leakage

• Facilitate continuing education initiatives for the coding team

• Developing coding guidelines and policies and procedures

Clinical Documentation Improvement (CDI)

Access Healthcare focuses on developing a best-in-class CDI program for hospitals, physician groups, and healthcare systems. Our CDI Solution offers Clinical documentation improvement services to help hospitals and physician practice groups to develop a best-in-class CDI program. 

Service Inclusions

• Consulting services to assess gaps and develop the CDI program

• Operational support for Coding and HIM functions

• Coding audit and clinician education 

• Reporting of CDI scores and development of performance benchmarks

Benefits

Trust Access Healthcare to optimize your HIM and Coding workflows and achieve better outcomes. We provide custom services to improve the case-mix index and reduce DNFB.  Our experienced team members help you enhance the effectiveness of clinical documentation processes.  Our clients get the following benefits:

• Compliant coding and improved clinical documentation

• Improved financial outcomes

• Reduced revenue leakage