Coding Advisor

An analytics and sequenced process-driven claims adjustment solution for payers that want to identify billing outliers, change provider behavior, and reduce overpayments of low-dollar, high-volume claims.

Help ManageHealthcare Costs with Pre-Submission Claims Adjustment

  • Address losses on high volume low dollar claims.

  • Drive positive change in billing practices to help increase accuracy.

  • Increase medical cost savings for E/M services with provider self-auditing and coding validation.
  • Decrease provider abrasion through a collaborative solution delivering targeted messaging and educational data insights.

  • Help reduce E/M coding errors by educating physicians and their billing staff.

  • Decrease the need for lengthy, costly, and abrasive audit activities.

Providing Measurable Value

80.1 %

outlier providers exhibiting better accuracy 

34.7 %

average decrease in overbillings 

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PMPY medical cost savings achievable

Our outcomes

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