US Healthcare Services
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.
Trusted by the leaders in the US Healthcare Industry for Delivering Continuous ROI
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
1000+ hours of Tech-enabled, SME-driven training
Proprietary QC System Maximizes Code Specificity (V28 ready)
Compliance to ensure information security is of paramount importance to us
Secure your 2025 success
Payors
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.
Risk Adjustment Services
As a leading provider of risk adjustment services, we offer comprehensive solutions tailored to meet the unique needs of health plans, provider
groups, ACOs, and other healthcare entities. Our vendor perspective encompasses a range of services designed to optimize revenue, reduce
administrative costs, and enhance overall performance.
Retrospective Risk Adjustment: Our retrospective risk adjustment solutions leverage logic-driven clinical algorithms to identify and validate
incomplete or inaccurate claims data through meticulous medical record data reviews. By uncovering valuable diagnosis codes not originally
submitted, we empower plans to maximize revenue potential while ensuring accurate risk assessment.
Concurrent & Prospective Risk Adjustment: With our concurrent and prospective risk adjustment services, we proactively identify gaps in care,
assessment, and provider documentation using advanced data analytics. By equipping providers with actionable insights before patient encounters,
we facilitate improved risk score accuracy and streamlined documentation processes, ultimately enhancing efficiency and reducing administrative
burden.
Data Aggregation and Submission Support: We offer comprehensive support for data aggregation and submission, including seamless
integration with EMR systems for enhanced data analytics and regulatory compliance. Our expertise enables us to identify potential coding
discrepancies and facilitate accurate submissions, thereby mitigating audit risks and ensuring regulatory compliance.
Natural Language Processing (NLP): Our innovative NLP technology accelerates and streamlines risk adjustment coding efforts by leveraging
machine learning algorithms to analyze large volumes of medical records. By optimizing the skills of professional coders and prioritizing coding
opportunities based on HCC potential, we enhance accuracy and efficiency in coding processes.
HEDIS Chart Abstraction Service
We provide specialized HEDIS chart review and abstraction services in accordance with the NCQA guidelines. With rigorous quality assurance, we deliver timely, precise data with 95%+ accuracy.
HEDIS domains and measures support achieving
Effectiveness of Care
Access/Availability of Care
Experience of Care
Utilization and Risk Adjustment Utilization
Health Plan Descriptive Information
Measures Collected Using Electronic Clinical Data Systems
Membership Management Services
We optimize every touchpoint to maximize member satisfaction and empower payers to enhance retention. We are committed to driving loyalty through member delight while allowing payers to scale and boost revenue.
Provider & Member Communication Services
We reduce communication gaps through timely query resolution and administrative support driving enhanced access, improved adherence and resource optimization.
Record Retrieval
Key Facts
Outreach Calls
Records Retrieved
Charts in One Season
Medical Coders
%
Accuracy
%
Client Retention
Annova Advantages
Proprietary QC System
The coding team is fortified by proprietary quality control (QC) system which identifies high risk coding practices, diagonses associated with frequent errors and suspects missed coding opportunities. The high efficiency of QC system is achieved by planning focused audit and using error codes for quick and real time RCA.
V28 Ready
With years of expertise and cutting-edge technology at our disposal, we are committed to one goal: delivering the utmost accuracy in our coding output. When unspecified ICDs fail to risk adjust, near coding won’t suffice. Our proprietary QC system, through targeted internal coding audits, ensures maximum code specificity.
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.
Annova Solutions Pvt. Ltd.
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