Our leading medical coding and auditing services are scalable and use intelligent technologies that maximize your benefits and manage risks. Our HIM solutions allow you to prioritize your patients. Our technology-enabled medical coding and auditing solutions enable better operations to maximize revenue.
Our technology-enabled medical coding service includes an impressive team of certified and specialized professionals utilizing proprietary technologies. GeBBS’ technology identifies errors, compliance risk, quality assurance processes, and financial opportunity to streamline coding and auditing workflows both concurrently and retrospectively.Our FlexSource model provides a customized solution for your needs. You select the delivery location that meets your specific scope, preference, and budget. GeBBS’ KLAS-rated outsourced coding services focus on accuracy to optimize performance. This accuracy drives better outcomes that contribute to the success of our healthcare partners.
Coding Audit and Compliance
Hospitals and healthcare providers face profound challenges while trying to achieve revenue goals without compromising quality and regulatory compliance. GeBBS’ proprietary coding audit platform and expert team of credentialed auditors help both payers and providers meet regulatory CMS, AMA, AHIMA, and AHA standards. We provide a detailed and customized compliance report outlining our findings on how to improve coding accuracy, clinical documentation, and reimbursement levels.
Coding for health conditions and diseases that fall under the Hierarchical Condition Category (HCC) can get tricky, involving 70,000+ ICD-10 diagnosis codes. Through accurate HCC coding and smart management of risk adjustment documentation, GeBBS® enables you to document HCC patient treatment accurately and arrive at precise RAF calculations. Our HCC coding solutions and real-time RAF reporting help our partners extract appropriate compensation and avoid sizable penalties. GeBBS’ HCC coding has been highly effective in increasing cash flow for clients.
The value-based care delivery model rewards providers, physicians, and hospitals for improving patient health, reducing the effects and incidence of chronic disease, and helping their patients live healthier lives. This is both challenging and rewarding, as optimum provider reimbursement is now tied to tangible quality thresholds. At this critical transition period, GeBBS’ team of experienced coders, proven technology, and proprietary tools can help providers maximize their opportunities and minimize risk through our Merit-based Incentive Payment System (MIPS) solutions.
GeBBS’ evaluation and management calculator tool is HIPAA compliant and follows the Centers for Medicare and Medicaid (CMS) accepted coding standards. By using this tool, healthcare providers and physicians can be reimbursed appropriately and reduce the risk of compliance audits.
The calculator is not a replacement for the official coding guidelines published by the CMS or guidance provided by local fiscal intermediaries. The suggested E/M code in the tool is based on user inputs. Users should rely on official guidance provided by CMS, references provided by the American Medical Association (AMA) and other official sources to make a final determination.