Medical Coding Services and Software Solutions

Medical Coding Solutions

Medical coding backlogs, miscoding and staff shortages pose significant challenges for health care organizations. Coders are being challenged with the complexity of ICD-10 while hospital systems are struggling with the difficulties of finding and retaining skilled and knowledgeable coders, accurately assessing their staff's applicable skills, improving coding accuracy and effectively managing staff competency. These factors have led to increased claim denial rates, weak cash flow and diminishing reimbursement. In order to meet financial and compliance goals, accurate and efficient coding is critical. Today's best-performing coding organizations are built on foundations of knowledgeable staff, tight collaboration with CDI specialists and physicians, and enabling technology to help enhance efficiency.

nThrive’s comprehensive range of proven medical coding services, outsourcing, technology and education solutions will raise the performance level of your coding organization to deliver outstanding quality and accuracy. Many nThrive coding customers experience coding accuracy percentages in the high 90s. Our coding solutions and technology, enabled with natural language processing, can help you:

  • Enhance the collaboration between coders, CDI specialists and physicians
  • Ensure optimal quality with medical coding audits
  • Reduce discharged not final billed (DNFB) levels
  • Ease coder recruiting and retention challenges
  • Reduce lost reimbursements, coding backlogs and noncompliance risk
  • Improve accounts receivable days and cash flow
Medical Coding Outsourcing Services Case Study

Case Study: A Coding Wellspring for Val Verde Regional Medical Center

Val Verde Regional Medical Center reduced its AR days by 36 percent just 120 days after bringing nThrive's coding outsource team on board.

Click here to download the case study

Medical Coding Audits

With increasingly complex government legislation, regulations and investigations, health care organizations continue to struggle to ensure complete and accurate documentation and compliant coding practices. Current staffing may not allow for routine quality reviews of assigned codes.  One way to minimize risk and regulatory exposure, receive appropriate reimbursement and assure a complete and accurate database is to perform periodic medical coding and documentation audits.   While the breadth and depth of a coding quality audit program will vary depending on the needs of the organization, frequent audits that use a variety of chart selection methodologies often result in the most complete, well-rounded compliance program and will yield additional benefits, including accurate reimbursement in a more timely fashion and valuable education to coders and providers. At nThrive, we know every client is different, and with our individualized auditing approach we create a project plan that is specific to your needs and individual nuances.

Our medical coding audits can help you:

  • Ensure coder compliance with new regulatory requirements to mitigate risk
  • Improve results of internal and external audits to minimize risk exposure and increased external audits
  • Implement industry standards and leading practices to improve performance
  • Identify and repair areas of weakness with ongoing monitoring to avoid coding errors and subsequent denials
  • Improve hospital and physician profiling and scorecard data to position hospital for growth and improve external reputation