Concurrent Coding Services
At Annova Solutions, our Concurrent Coding Services ensure real-time documentation accuracy and risk adjustment during patient encounters. By providing pre- and post-encounter support, actionable provider summaries, and advanced Clinical Documentation Improvement (CDI), we enhance coding precision, reduce claim denials, and align with value-based care goals.
Our expertise in HCC coding and integration of Social Determinants of Health (SDOH) empowers healthcare organizations to optimize financial performance, improve compliance, and deliver holistic, patient-centered care.
Industry-leading real-time coding accuracy
Reduction in claim denials and compliance risks
Enhanced provider support and CDI integration
Comprehensive Services
Pre- and Post-Encounter Preparation
Our Pre- and Post-Encounter Preparation services ensure providers are equipped with detailed, actionable summaries before patient visits. These summaries highlight chronic conditions, missed recaptures, and coding opportunities to maximize risk adjustment accuracy. Post-encounter reviews, conducted within 48 hours, ensure all necessary documentation improvements are captured, reducing compliance risks and enhancing coding precision.
CDI & Provider Education
We empower providers through Clinical Documentation Improvement (CDI) and targeted education programs. Our CDI services focus on refining documentation to capture all relevant diagnoses, including Social Determinants of Health (SDOH). Provider education modules enhance awareness of risk adjustment, coding nuances, and the impact of thorough documentation on care quality and financial outcomes.
Other Comprehensive Services
- Real-time HCC Coding during patient encounters
- Comprehensive two-year EMR reviews to capture missed diagnoses
- Identification of care gaps and chronic disease management opportunities
- Integration of SDOH documentation into risk adjustment workflows
- Audit readiness with quality-assured documentation processes
- Tailored provider summaries for improved decision-making
Supporting Services
- Clinical quality audits and coding accuracy checks
- Regulatory compliance assistance for value-based care models
- Data analytics to track risk score improvements
- EHR integration support for streamlined workflows
- Regular training sessions for providers and coders on best practices
Key Benefits
Real-Time Risk Adjustment Accuracy
By capturing risk-adjusting diagnoses during encounters, we ensure precise coding, reduce missed opportunities, and improve RAF scores, leading to optimized reimbursements and compliance.
Enhanced Provider Efficiency & Decision Support
Our pre- and post-encounter preparation provides actionable summaries, equipping providers with insights on chronic conditions, SDOH, and recapture opportunities, allowing them to focus on delivering quality patient care.
Reduced Claim Denials & Compliance Risks
Through CDI integration and quality audits, we enhance documentation integrity, reducing the likelihood of claim denials and audit risks, ensuring alignment with CMS and regulatory requirements.
AI-Driven Quality Control & Workflow Optimization
Leveraging AI-powered tools, automated CDI prompts, and real-time data analytics, we streamline concurrent coding workflows, improving accuracy and operational efficiency.
Scalable & Adaptive Coding Solutions
Our solutions are designed to adapt to the evolving landscape of risk adjustment, seamlessly integrating with provider workflows, EHR systems, and payer compliance requirements.
Who We Serve
At Annova Solutions, we serve a diverse range of healthcare organizations, each with unique needs:
FAQs
Annova Solutions offers end-to-end risk adjustment services with dedicated account managers, experienced risk adjustment physicians, and HCC clinical coding experts. Our comprehensive approach includes prospective, concurrent, and retrospective reviews, real-time insights, and risk and quality performance reporting.
We offer detailed chart reviews, accurate diagnosis coding, medical record retrieval, compliance auditing, validation, and provider education to improve RAF scores and ensure coding accuracy.
Yes, we provide RADV audit services to payers by proactively identifying and addressing high-risk HCC codes. Our AI-driven approach assesses documentation gaps, conducts mock audits, and develops corrective action plans to mitigate audit risks.
We maintain the highest data security standards, complying with HIPAA regulations through end-to-end encryption, secure data transfer protocols, and restricted data access. Our infrastructure is hosted on SOC 2-certified platforms to prevent breaches and ensure PHI confidentiality.