Healthcare Coding Audits and Compliance Services
Our experts provide data-driven solutions to ensure your coding is accurate, compliant, and up-to-date resulting in higher settlements.
Data-Driven Solutions Tailored to Your Needs.
Gryphon’s detailed claim review process was designed to specifically account for each payer’s unique methodologies, requirements, and most importantly, tactics for denying or under-paying claims. We use detailed analytics to fuel plan-specific interventions, with all needed data to realize an optimal settlement on your behalf.
Reimbursement coding is the process of translating physician and nursing documentation into billing codes. Accurate and compliant coding is the cornerstone of achieving optimal and compliant revenue. Many billing companies fail to invest in quality coding. At Gryphon, all our coders are certified and have a minimum of three years or more of specialty specific coding experience. Importantly, we invest regularly in their continued professional advancement and education. An investment that adds real value to our client’s bottom line.
The key to successful coding is having coders who can translate a physician’s thoughts and subtle cues about a case into each payer’s own language.
Consider this, in just the emergency department, there are more than 500 distinct physician services rendered in the emergency department that can be reported for reimbursement purposes, and an endless number of ways that these are documented by emergency physicians.
To capture optimal billable revenue, coders must understand what each service is and what documentation is considered acceptable and compliant by each payer.
Integrity requires a commitment to doing the right thing the first time and every time. As a matter of corporate compliance, we follow all applicable Federal, State, and County government regulations and the provisions of your Practice’s agreements with third party payers. We administer a proprietary compliance program that is more stringent than the medical billing compliance model published by the Centers for Medicaid and Medicare Services (CMS).
We know you didn’t go into healthcare to focus on pay cycles and insurance coding; you went into it to make a difference in the lives of your patients. We get it—our team is full of healthcare professionals, too. We’ve learned the ins and outs from years of experience, and now we’re here to help you. Schedule a call today. And in the meantime, download our free resource to help you determine if outsourcing your revenue cycle management is right for you!
Ready to Get Started?
Schedule a call today!
Schedule a call today with one of our revenue cycle experts and we’ll discuss how Gryphon Healthcare can help you shorten your revenue cycles today, and make sure you’re receiving all the reimbursements you’re due!