HCC-Coding Services to complete submission to RAPS / EDPS
well-before the prescribed time-frames. We conduct proxy or
mock Risk Adjustment Data Validation (RADV) audits on the
lines of CMS-RADV Audit Contractors for determining
vulnerabilities in real time audits and recommend measures to
ensure compliance with applicable statutes. This initiative
helps MAOs to keep tab on their liabilities for penalties and
sanctions which may arise out of real time audits. We also
conduct 360 ° full performance analysis of:
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Panel-providers to ensure appropriate Clinical Documentation
and Coding team performance for accuracy of coding process.
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Communication channels between Clinicians and Coders for
appropriateness of prescribed PQP.
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Data Submissions Team to ensure that coding data are
submitted to RAPS/EDPS in prescribed time lines.
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Patient encounters to see that follow-up of patients from
plan happens as desired to enable the patients to stay
healthy and stay subscribed with the plan.
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We also offer -Star Rating and HEDIS Data Abstraction
Services for entitlement of Quality Performance Bonus (QPB)
by helping you get the star rating score of 4/4.
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Highest standards of coding quality with ongoing quality
checks occurring throughout the life cycle of projects.
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Real-time RAF reporting to help payers extract appropriate
compensation and avoid sizable penalties.
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Confirmed accuracy of existing diagnosis data and
identification of risk-adjusted conditions that were not
previously submitted.