For both the healthcare provider and payor, properly undertaking claims documentation, coding, processing, audits, and risk adjustments is critical. Under a myriad of existing and new State and Federal legislations, as well as the phase-in of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 Medicare Advantage programs, the importance of proper documentation, coding, tracking, and reporting of claims and patient health expenditure risk have been brought to the forefront of the healthcare community's attention.
MedAssurant's team understands the multifaceted issues surrounding clinical encounter documentation, associated claims, their processing, and risk adjustment analysis. Furthermore, MedAssurant not only understands where errors and inefficiencies frequently occur - but also the effective corrective action solutions to identify and correct for them. Applying comprehensive clinical, technological, financial, and regulatory knowledge, MedAssurant delivers superior ability to implement highly cost effective solutions to minimize waste, fraud, abuse, overpayment, and errors regarding reimbursement and capitation payment rates.
MedAssurant Claims Documentation, Analysis & Processing Solution Examples:
