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 Habits don’t. Small, consistent coding errors — a missing modifier, an outdated code, a service not documented to the level billed — cause repeat denials and missed revenue.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.

  1. (a)

    Sample-based review

    A defined sample of claims reviewed against the clinical documentation.

  2. (b)

    Findings by pattern

    Errors grouped by type, provider and service, not just listed.

  3. (c)

    Missed charges

    Services documented but not billed, identified for correction where still possible.

  4. (d)

    Practical guidance

    Short, specific notes for clinicians and coders. Not a lecture.

§ 03Method

How it runs.

  1. Step 1

    Scope

    Agree the sample, period and services.

  2. Step 2

    Review

    Codes checked against documentation and payer rules.

  3. Step 3

    Findings

    Written report with patterns and examples.

  4. Step 4

    Walk-through

    A session with your team on the findings.

  5. 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 pricing

Quoted 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]].