• Risk Adjustment & RAF Optimization

• HCC Coding Validation
Review and validation of HCC coding to support accurate risk capture and compliance.

• RAF Score Optimization
Identification of documentation and coding opportunities that support accurate RAF score reporting.

• Pre-Visit Reviews
Proactive review of patient records to identify recapture opportunities and potential undocumented conditions.

• Concurrent Documentation Reviews
Real-time review of documentation to support coding accuracy and provider awareness.

• Audit & Documentation Services

• Retrospective Chart Audits
Comprehensive chart reviews to evaluate coding accuracy, documentation quality, and compliance.

• Documentation Improvement Reviews
Identification of documentation gaps and opportunities for clinical documentation improvement (CDI).

• Feedback Reports
Detailed findings and recommendations provided through customized audit reports.

• Compliance Reviews
Support for documentation integrity and coding compliance initiatives.

• Provider Education & Training

• Provider Education Sessions
Customized training focused on Risk Adjustment, HCC coding, and documentation best practices.

• Coding Staff Training
Educational sessions for coding and administrative teams.

• Real-Time Feedback
Practical guidance designed to strengthen documentation habits and coding accuracy.

• Ongoing Support
Continued support and consultation via email and virtual meetings.

• Medicare Billing Support

• Medicare Billing Reviews
Evaluation of billing processes to support claim accuracy and proper code assignment.

• Documentation & Coding Alignment
Review of documentation to ensure coding supports billed services.

• Preventive & Annual Wellness Visit Support
Guidance on documentation and coding requirements for Medicare preventive services.

• Revenue Integrity Support
Helping organizations improve billing accuracy through compliant documentation and coding practices.