832-653-3200 info@gryphonhc.com

How are you managing

Coding and compliance?

Gryphon Healthcare help you make sure you receive every dollar you can through updated and managed documentation processes.

How are you managing

Coding and compliance?

Gryphon Healthcare help you make sure you receive every dollar you can through updated and managed documentation processes.

You could be losing money because of

coding and compliance

Medical necessity is the new payer challenge and it cannot be easily templated. Appropriate documentation, now more than ever, is more clinically-nuanced, requiring detailed insight into how the patient care event evolves throughout the patient encounter. As clinicians ourselves, we not only understand a physician’s language and thought style, but also the factors that motivate them and the best ways to focus their efforts toward better documentation.

Managing

Coding

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.

Consulting services for

Payer Specific Coding

Coders have to read the subtle clues to the physician’s thoughts about the case and must translate those thoughts 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.

The key to capturing all billable revenue is to understand what each service is and what documentation is considered acceptable and complaint by each payer.

Consulting services for

Compliance

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).