Physician-Led Clinical Validation

Take coding to the next level with physician-led reviews

Health systems are faced with increasing complexities to ensure appropriate reimbursement for services provided. Challenges include new reimbursement models tied to quality, increased payer denials, and millions of dollars in unreimbursed care.

Our solution takes coding audit and validation reviews to the next level through a physician-directed clinical documentation review. This clinical validation happens remotely, in real time, and can significantly impact quality and bottom-line results.

Physician-led clinical validation partner

  • increase clinical accuracy and reimbursements with physician queries
  • secure support in responding to CMS and payer denials, clients win more appeals
  • decrease fraud and abuse penalties by identification of incorrect coding
  • predict and target population health opportunities
  • ensure data integrity necessary to effectively drive population health management
  • collaborate with physicians who are trained in the principles of inpatient coding and focused on improving the specificity and accuracy of documentation
  • secure physician review of charts after the coder has assigned the DRG and before the bill is dropped
  • uncover truths in patient documentation and partnering with coders to assign the most accurate DRG on all DRG reimbursed inpatient cases
  • connect clinical indicators in the chart for peer-to-peer queries to identify the appropriate medical diagnoses

HARMONY HEALTHCARE

We deliver expert consultants within population health and reimbursement to providers on a national basis and across all care settings. They empower healthcare organization success, enhance clinical and financial outcomes, and enable the transition to value-based healthcare.

Location

2909 West Bay to Bay Blvd., Suite 400
Tampa, FL 33629
813-369-5159

Compliance Report Line:
813-369-5165
Click Here To Send Mail

Map

Contact Us

Stay informed with our latest news