Healthcare KPO & IT Solutions

End-to-end medical billing expertise — from charge capture and claim submission through denial management and patient collections.

• Clean claim submission & scrubbing
• AR follow-up and denial resolution
• Payment posting & reconciliation

Accurate ICD-10, CPT, and HCPCS coding across outpatient and physician settings — ensuring compliance and optimal reimbursement.

• E/M and surgical procedure coding
• Modifier & bundling accuracy
• Audit-ready documentation review

HCC and risk-adjustment coding for Medicare Advantage and ACA plans — capturing acuity and supporting value-based care programs.

• HCC capture & RAF optimization
• Chart review for chronic conditions
• Compliance with CMS risk models

Facility and inpatient coding mastery — DRG assignment, MS-DRG optimization, and ICD-10-PCS procedure coding for hospitals.

• DRG / MS-DRG assignment
• ICD-10-PCS procedure coding
• Discharge & interventional reviews

Dedicated risk-adjustment specialists supporting annual wellness visits, suspect conditions, and RAF score integrity for payer programs.

• Suspect condition identification
• Annual wellness visit coding
• RAF score validation & reporting

Hospital coding experts for complex cases — surgical, obstetric, and critical-care encounters with full compliance review.

• Complex surgical case coding
• Obstetric & neonatal encounters
• Compliance audits & education