HIM Coding Solutions

CODING AND HIM SOLUTIONS

Our HIM outsourcing solutions are designed to deliver overall clinical and financial success to our partners, focusing on improving all aspects of HIM performance

Lack of knowledge in the Coding and Reimbursement system can paralyze the business of medicine.

For hospitals and physician practices, two objectives matter most when it comes to billing for clinical services: maximizing revenues and reducing regulatory risk. Faced with an increasingly complex regulatory environment and aggressive federal and state audit initiatives, medical billing and coding operations at hospitals and physician practices must comply with all applicable healthcare laws and regulations.

Additionally, lost revenue from poor medical coding practices can significantly impact financial performance. From ICD-10 to changing payer structures, the industry is experiencing troubling reimbursement trends: payer inaccuracies, denials due to unspecified codes, an increase in medical necessity denials, slower and underpayments – all of which put healthcare organizations at risk.

Professional Coding

Facility Coding

Risk Adjustment Coding

Coding Audit Services

Charge Capture Analysis

Clinical Documentation

Our certified healthcare professionals provide unparalleled expertise and proven results across the HIM coding solutions

Professional Coding

We help you improve accuracy with ongoing, periodic or one-time coding assistance across all medical specialties.

Guaranteed accuracy and turnaround time lead to accurate and appropriate reimbursement.

Facility Coding

Experts to handle various chart types including inpatient, emergency departments, ambulatory care, radiology, and surgery centers.

Specialists to handle complex, high-value coding such as interventional radiology and cardiac catheterization.

Coding Audit Services

Accuracy review of your current coding process, which will identify mistakes and help prevent future coding-related denials.

Coding auditing services, including coding compliance, provider documentation and reimbursement audits.

Risk Adjustment Coding

Retrospective coding for Medicare, Commercial/HIX and Medicaid using models: CMS-HCC, HHS-HCC, and State-specific Medicaid.

Assure the highest standards of coding quality, with quality checks occurring throughout the process.

Charge Capture Analysis

Identify opportunities for process improvement in order to maintain a current, comprehensive and compliant CDM.

Charge capture review to identify and correct breakdowns in the charge capture process.

Clinical Documentation Improvement

Review of clinical documentation to support diagnosis capture and to ensure the level of service rendered to all patients is appropriately recorded.

Maximize reimbursement by improving your documentation and protect you against the risk of RAC audit liability.

Certified with Experience and Expertise Needed to Keep your Revenue Cycle Running Smooth

Certified Professional Coder (CPC)

Certified Coding  Specialist (CCS)

Certified Billing and Coding Specialist (CBCS)

Certified Professional Medical Auditor (CPMA)

Certified Professional Coder in Dermatology (CPCD)

Radiology Certified Coder (RCC)

Certified Cardiology Coder (CCC)

Certified Outpatient Coding (COC)

Certified Inpatient Coder (CIC)

Certified Professional Biller (CPB)

Service Highlights

AnnexMed’s ability to drive accurate reimbursements and avoid costly errors is a result of our highly experienced and rigorously trained team of medical coders.

  • Credentialed and Experienced Coders
  • Expertise in Physician / Hospital Coding
  • Minimum 20-30% cost reduction
  • 12 to 24 hours rapid turnaround
  • 96% or higher Coding accuracy
  • Optimized revenue, reduced denials
  • Strict enforcement of compliance
  • Tailored workflow for every project
  • Elimination of staffing shortages
  • Meet DNFB goals