In today’s complex healthcare landscape, the accuracy and efficiency of coding services are crucial for ensuring optimal clinical and financial outcomes. Annova Solutions stands at the forefront of this domain, offering a comprehensive suite of coding services that encompass
Medicare programs (Parts C & D), Commercial (ACA), Medicaid CDPS, and HEDIS measures. With a team of seasoned subject-matter experts from diverse healthcare backgrounds and a proven track record of exceptional accuracy, Annova Solutions is your trusted partner in navigating the intricacies of healthcare coding and documentation.
Expertise Across Healthcare Programs
Annova Solutions specializes in a wide array of coding services, ensuring that your
organization meets the highest standards of compliance and accuracy across various
healthcare programs:
Medicare Programs (Parts C & D)
Medicare Advantage and Prescription Drug Plans require meticulous coding to accurately reflect patient health statuses and secure appropriate reimbursements. Our team of certified coders ensures that all diagnoses are captured with precision, enhancing your Risk Adjustment Factor (RAF) scores and optimizing financial returns.
Commercial (ACA)
Navigating the coding requirements of the Affordable Care Act (ACA) can be challenging. Annova Solutions excels in accurately coding for commercial plans, helping you meet regulatory standards and maximize the benefits for your enrollees.
Medicaid CDPS
The Chronic Illness and Disability Payment System (CDPS) for Medicaid programs demands a thorough understanding of chronic conditions and their documentation. Our experts are
adept at identifying and coding these conditions accurately, ensuring that your organization receives appropriate funding.
HEDIS Measures
The Healthcare Effectiveness Data and Information Set (HEDIS) is essential for evaluating the quality of care provided by health plans. Annova Solutions offers comprehensive HEDIS chart abstraction services, ensuring that your performance metrics are accurately captured and reported.
Unmatched Accuracy and Completion Rates
At Annova Solutions, we take pride in our track record of successfully coding millions of charts with an exceptional accuracy rate of 95% and above. Our robust processes and stringent quality control measures ensure that every chart is coded to the highest standards, minimizing errors and maximizing reimbursement.
Our unparalleled completion rates in Medical Record Retrieval, Medical Billing, and Coding contribute to superior clinical and financial outcomes for your organization. With over 2 million chart extractions achieved by our record retrieval experts, we set the standard for precision and accuracy in the industry.
Comprehensive Risk Adjustment Services
Annova Solutions offers a full spectrum of risk adjustment services designed to improve your organization’s financial performance and quality of care:
Improve RAF Scores
By leveraging advanced analytics, we identify opportunities across your membership data to improve the accuracy of your Risk Adjustment Factor. This ensures that your organization receives appropriate compensation for the risk profiles of your members.
Multiple Data Sources
Our robust data aggregation processes capture information from a variety of sources, enhancing our ability to identify chronic conditions and implement cost-effective interventions. This comprehensive approach ensures that no critical data is overlooked.
Probability Trend Analysis
Utilizing projected RAF scores or suspected morbidities, we identify members with potential diseases and care gaps. This proactive approach allows for early intervention and improved health outcomes.
Better Suspecting
Minimizing false positives during suspecting is crucial for accurate coding. Our clinical mapping techniques differentiate clearly between acute and chronic conditions at the ICD-10 level, ensuring precise documentation.
Intelligent Targeting
Our advanced targeting capabilities analyze risk scores based on specific Hierarchical
Condition Categories (HCCs). With a robust analytics engine, we clean, map, and validate data, ensuring its accuracy before importing it into our data warehouse.
Coding Gap Intervention
Monitoring real-time financial performance allows us to assess the impact of coding
progress. We identify care and documentation gaps through the analysis of coding progress, ensuring continuous improvement in your organization’s coding accuracy and financial health.
Additional Services to Enhance Your Operations
Annova Solutions offers a range of additional services to support your organization’s operational efficiency and member satisfaction:
Membership Management Services
Our membership management services streamline administrative processes, ensuring that member data is accurately maintained and readily accessible.
Provider & Member Communication Services
Effective communication is key to member engagement and satisfaction. We offer
comprehensive communication services to ensure that both providers and members are well-informed and supported.
Record Retrieval for Payor Organizations
Our record retrieval services for payor organizations are designed to be efficient and thorough, ensuring that all necessary documentation is collected for accurate coding and compliance.
Why Choose Annova Solutions?
Expertise and Experience
Our team comprises certified coders with healthcare backgrounds such as physicians,
nurses, and pharmacists. This diverse expertise ensures that we have the knowledge and skills to handle even the most complex coding scenarios.
Advanced Technology
We leverage the latest AI and NLP technologies to enhance our coding accuracy and efficiency. Our AI-enabled data aggregation process and analytics-powered solutions provide a competitive edge, ensuring that you stay ahead in the rapidly evolving healthcare landscape.
Comprehensive Training
Our coders undergo rigorous training, combining AI and NLP with "Human-in-the-Loop accuracy. Our training programs are driven by subject-matter experts and enhanced by cutting-edge technology, ensuring that our team is equipped with the latest skills and
knowledge to excel in coding practices.
Client-Centric Approach
At Annova Solutions, we prioritize our clients success. Our collaborative approach ensures that we understand your unique needs and develop customized solutions to meet them. With a commitment to client satisfaction and a proven track record of 100% client retention, we build long-term partnerships based on trust and excellence.
Conclusion: Achieve Superior Clinical and Financial Outcomes with Annova Solutions
In the intricate world of healthcare coding and documentation, precision and accuracy are paramount. Annova Solutions is your trusted partner in navigating this complex landscape, offering comprehensive coding services that enhance your clinical and financial outcomes. With our expertise, advanced technology, and client-centric approach, we help you achieve
your goals and secure your success.
Are you ready to enhance your coding accuracy and optimize your financial performance? Contact Annova Solutions today to learn more about our comprehensive services and
discover how we can support your organization in achieving superior outcomes.