Acusis takes pride in providing timely and accurate coding services to hospitals and physician practices. We have proven track record of minimizing DNFBs and denials while improving coding quality and compliance for our clients.
Our Medical Coding team has AHIMA/AAPC certified coders with in-depth understanding of latest coding regulations of patient care in hospital and clinical settings. Our team is well known for capturing and adhering to facility specific coding guidelines and rules.
Our Client Services team has seasoned coders and auditors with proven track record in coding as well as communication skills. Our team brings intensity and urgency to the most mundane tasks. Whether it is a status update or a physician query, nothing is considered too small to get our attention.
At Acusis, Quality Control and Quality Assurance are not mere slogans as these are integrated and built into every coding delivery process we set up for our clients. We invest considerable amount of time from the early days of a client relationship to meticulously understand their needs. This makes things go smoother later in the relationship. With client concurrence, we define what an error is and then assign appropriate error weights depending on criticality of error. This helps in laying out an effective concurrent review and random sampling retrospective review programs to generate metrics that truly indicates the quality of our service. At Acusis, it is all about consistency in quality management.
Acusis has years of experience working on various EHRs and computer-assisted coding systems. In no time, our teams can get acclimatized and Go Live on your systems with right navigation, abstracting and following the desired workflow. Below are some of the salient features of our coding service:
From procedural coding to physician office coding and in-patient coding, we cover a wide spectrum of specialties and service types. We can assist our clients with the following:
The Centers for Medicare & Medicaid Services (CMS) is moving aggressively to shift healthcare payments from the traditional volume-based fee-for-service model towards value-based payment model, also called value-based reimbursement (VBR). This shift is focused on reducing the cost of healthcare in the country while also giving incentives to healthcare providers to improve their quality of care. This model requires a risk-adjustment methodology, so that payment can be adjusted based on the seriousness of illness of each patient.
Capitated payment is used by Medicare Advantage and several commercial payers as a means to control cost and shift risk to providers. Capitated payments encourage better care coordination by paying one risk-adjusted sum to a health system to provide all the care and services that a patient requires for the year.
AcuSmartT coding captures HCC codes and RAF scores, which enables you to negotiate better reimbursement on your Medicare Advantage plans. Medicare is anticipating that by 2020, approximately 75% to 80% of its plans will be based on value-based payment models. Currently most hospitals treat patients without knowing their risk score which is a lapse. You can also take advantage of reimbursement that is due to your facility by using AcuSmartT coding. It not only helps you capture the risk of your current Medicare Advantage Plans and several other commercial payers’ plans but also prepare you as more Medicare plans move to this model.
At no cost to you, Acusis offers to complete detailed analysis of 10 patients from your Medicare plan to demonstrate AcuSmartT coding usefulness. It will help you realize what additional reimbursements Acusis can bring to your facility by embracing this shift to value-based reimbursement (VBR).
AcuSmartT, while moving you to the risk adjustment model, can continue coding as per fee for service model, thus get you ready for higher reimbursement in the coming year. This is a 2-in-1 process of fee-for-service and value-based payment model to enhance the coding quality and efficiency at your facility.
AcuSmartT coding is designed to handle your current coding needs while preparing you for the future in healthcare reimbursement.
With Acusis, you have the assurance of working with a superior outsourced coding partner that is HIPAA compliant and equally attentive to demanding revenue cycle challenges!
For business inquiries, call us today at 855-422-8747