Services
Coding & Charge Review
Accurate codes, supported by the chart, so claims are paid the first time.
What we do
Coding errors are one of the quietest ways a practice loses revenue. Undercoding leaves money on the table. Overcoding creates audit risk. Missing modifiers or mismatched diagnosis codes lead to denials. Our coding review sits between the visit and the claim to catch these issues while they are still easy to fix.
Coding accuracy review
Certified coding professionals review CPT, HCPCS and ICD-10-CM codes and modifiers against the documentation and current payer guidance. We look for codes that are missing, unsupported or out of date.
Pre-submission charge review
Charges are checked before submission, not after a denial. Questions are batched and sent back with a clear note on what is needed.
Documentation feedback to providers
When the note does not fully support the level of service, we explain why in plain language and share short examples. The goal is better notes over time, not more work for providers.
Clean-claim goals
We track coding-related rejections and denials and agree on targets with you. Each month we report on what improved and what still needs attention.
Periodic coding audits
On request, we run a sample review of past encounters to show patterns by provider, code or payer.
Our workflow
- 1
Baseline review
We sample recent encounters to understand your coding patterns and common issues.
- 2
Agree on rules
We document specialty-specific rules, payer quirks and how questions are routed.
- 3
Daily charge review
Charges are reviewed and coded or corrected before claims go out.
- 4
Provider feedback
Recurring documentation gaps are shared with providers in short, practical notes.
- 5
Monthly coding report
Coding-related denials, top issues and progress against agreed goals.
What you can expect
These are the standards we work to and report against. They are commitments we aim for, not guarantees, because some steps depend on payers and on information from your practice.
- We aim to complete coding review within one to two business days of receiving the documentation.
- Coding questions are sent in one organized batch, not scattered messages.
- Feedback to providers is specific, respectful and focused on patterns.
- Your monthly report includes coding-related denial trends.
Common questions
Find out where your revenue is leaking.
A free, no-obligation review of your claims and payor contracts, explained in plain language.