The codeis the claim.
A claim is only as good as the codes on it. We review coding against documentation and show you where it’s costing you.
- Service
- 05 / 05
- Pricing
- Fixed fee or retainer
§ 01Why coding drifts
Code sets and payer rules change. Habits don’t. Small, consistent coding errors — a missing modifier, an outdated code, a service not documented to the level billed — cause repeat denials and missed revenue.
§ 02Scope
What’s included.
- (a)
Sample-based review
A defined sample of claims reviewed against the clinical documentation.
- (b)
Findings by pattern
Errors grouped by type, provider and service, not just listed.
- (c)
Missed charges
Services documented but not billed, identified for correction where still possible.
- (d)
Practical guidance
Short, specific notes for clinicians and coders. Not a lecture.
§ 03Method
How it runs.
- Step 1
Scope
Agree the sample, period and services.
- Step 2
Review
Codes checked against documentation and payer rules.
- Step 3
Findings
Written report with patterns and examples.
- Step 4
Walk-through
A session with your team on the findings.
- Step 5
Re-check
An optional follow-up review to confirm changes stuck.
§ 04What you see
- Written review with error rates by category
- Examples drawn from your own claims
- A prioritised list of fixes
§ 05A good fit if
- Coding-related denials keep recurring
- You’ve added services, clinicians or payers
- You want an independent view before an external audit
§ 06Fee
Fixed fee or retainer
Compare pricingQuoted per review based on sample size, or included in a monthly retainer of [[RETAINER_FEE]].
§ 07Questions
Questions about Medical Coding Review
- Do you code for us day to day?
- Coding review is a check, not a replacement. Day-to-day coding support is available within full revenue cycle management.
- Who does the review?
- Reviewers with coding credentials relevant to your region and specialty: [[CODING_CREDENTIALS]].