Hospital RCM

Helping Hospitals Identify & Correct Mis-Coded or Under-Coded Claims

Clients Generating 3X – 6X ROI, Resulting in Millions of Dollars in Additional Revenue

Innovative, physician led secondary review of the hospital’s inpatient medical records, with the goal of capturing the true clinical picture

§  Team based review of every medical record; Physician, Coding Expert, CDI Specialist

§  Solution works in conjunction with clients current team and processes in a non-disruptive manner

Rigorous compliance and audit processes in place

§  50+ prestigious & well respected hospital systems have implemented this solution

Ongoing physician education programs to correct the underlying issues

§  Analysis of 1 year of claims data provided to quantify upside revenue opportunity – Free of Charge

§  Initial 90 Day Termination Option with $0 fees – No client has triggered this

Quality Review Program also available; capture important metrics such as Severity of Illness, Risk of Mortality, and Patient Safety Indicators