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Payor Services

HCC coding review

Risk Adjustment process is a critical step to ensure the Medicare Advantage and ACA gets proper funding to manage their members. Our team of certified coders with more than a decade of expertise in HCC coding & reviews can help you proper HCC code assignments and Risk scores. We can provide retrospective, prospective and concurrent reviews based on your needs.

HEDIS Review

Our coders and clinical staff with a through knowledge in NCQA guidelines can performance a comprehensive clinical chart review and abstract critical information for HEDIS abstraction.