US Healthcare Services

We specialize in comprehensive coding services, encompassing Medicare programs (Parts C & D), Commercial (ACA), Medicaid CDPS, and HEDIS measures, among others. Our team comprises seasoned subject-matter experts, including certified coders from diverse healthcare backgrounds such as physicians, nurses, and pharmacists.

Continuous ROI, Multiplying Value 

Annova delivers RoI from Day 1 you work with us and then it keeps getting better

With our team of certified coders and retrieval experts accomplishing unparalleled coding accuracy and unmatched completion rates in medical record retrieval, you can realize superior clinical and financial outcomes for your organization.

Talent Pool of Nurses, Pharmacists, and Medical Science graduates

Our talent pool is divided into 3 skill groups based on educational backgrounds. The first includes basic science graduates (e.g., biochemistry, biology) trained in extracting HCC conditions. The second comprises pharmacists, healthcare technicians, and diploma nurses trained for first-level audit and mentoring. The third comprises registered nurses, physiotherapists, and physician assistants, trained in guideline interpretation, coding rationale, and coaching.

Proprietary QC System Maximizes Code Specificity (V28 ready)

Our proprietary AI-driven QC tool selects charts for audit based on coding outputs with high-risk codes such as cancers and CVAs, identifying potential over and under coded conditions. It generates unique error codes aiding error analysis and coder education, enhancing accuracy and compliance in coding practices.

1000+ hours of Tech-enabled, SME-driven training

Our HCC coding training module features extensive video tutorials and assessments, supplemented by project specific weekly PKTs and monthly assessments. Topics include US healthcare, RCM, medical encounters, HCC basics, coding tools, HIPAA introduction, general guidelines, case studies, tests, and rationale discussions.

SOC II Type II and ISO 27001

SOC II Type 2 and ISO 27001 are vital certifications ensuring stringent security measures in service delivery. Our adherence to these frameworks guarantees a robust security infrastructure, safeguarding data with the highest standards. Compliant with ISO 27001, HIPAA, HITECH, and SOC II standards, we prioritize reliability and confidentiality, ensuring clients’ trust and satisfaction.

Payors

Optimize financial outcomes by enhancing member satisfaction, supporting care appropriateness, and ensuring regulatory compliance. We assist in providing accurate compensation, improving performance, and achieving value-based care goals, particularly in the challenging landscape of HCC coding with limited staff resources.

  • Risk Adjustment Services
  • HEDIS Chart Abstraction Service
  • Membership Management Services
  • Provider & Member Communication Services
  • Record Retrieval

Provider Groups & Hospitals

Partner with us and enhance the patient experience as you improve outcomes, reduce costs and increase cash flow. We deliver the highest accuracy of clinical data and analytics so that care providers can make informed decisions.

  • Risk Adjustment Coding
  • Tech Support Services
  • Revenue Cycle and Medical Billing Services

Tech Platform Partners

Healthcare providers operate in a complex environment, where technology is instrumental in delivering timely and effective patient care. We streamline various administrative and financial operations through our platforms, lowering cost and improving patient care.

  • Risk Adjustment 
  • Record Retrieval
  • Tech Support Services

Your Strategic Operations Partner

Who do we work for?
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High-tech start-ups in need of fast-paced, high-performing operations partner

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Companies looking to set up their first offshore operations

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Enterprises looking to improve key business results at lower cost

What we do?
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Set up and run your operations unit to drive revenue, CSAT, and turnaround time while reducing the cost of operations

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Autonomous Operations Units integrated with your onsite/offshore teams with transparent reporting

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High-performing teams focused on your key business results

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Tightly link the cost of operations to your key business drivers

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Access to a large talent pool with intelligent design to create maximum business impact

Key Facts

Outreach Calls

Records Retrieved

Charts in One Season

Medical Coders

%

Accuracy

%

Client Retention

Your peace of mind is our priority

We maintain the highest standards of data security fortifying your sensitive healthcare data against evolving cyber threats.

Encryption Technology

State-of-the-art encryption techniques to protect data both in transit and at rest ensuring top tier security.

Access Controls

Role-based access to limit system entry points and grant permissions only to authorized personnel.

Regular Audits and Monitoring

Proactive data security practices and continuous monitoring that promptly addresses vulnerabilities.

Incident Response Planning

Swift incident response that identifies, contains, and mitigates security threats, minimizing operational impact.

Data Backups and Recovery

Robust backup and recovery solutions that ensure quick restoration of critical information in the event of an unforeseen incident.

Our approach to compliance

We adhere to

stringent regulatory standards, ensuring that our services not only meet but exceed the compliance requirements set forth by industry and government bodies.

HITECH Act Compliance

We align our practices with the Health Information Technology for Economic and Clinical Health (HITECH) Act, reinforcing our commitment to the secure and meaningful use of electronic health records (EHRs).

GDPR Compliance

We respect the privacy rights of individuals and ensure that our data processing practices align with General Data Protection Regulation (GDPR) standards.

Ongoing Compliance Monitoring

Compliance is not a one-time effort but an ongoing commitment. We continuously monitor changes in regulations and update our systems and practices accordingly, We ensure  your organization remains compliant with the latest healthcare and data protection standards.

Educational Initiatives

We believe in empowering our clients with knowledge. Our compliance initiatives include educational programs to keep your staff informed about the latest regulatory requirements, promoting a culture of compliance within your organization.

 

GET IN TOUCH

Partner with us to improve your business outcomes and enhance efficiency. 

Annova Solutions Pvt. Ltd.

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