Coding review
Get paid for the care you document, and be ready if a payer asks
Under-coding leaves money behind; over-coding invites audits. We check codes, modifiers and diagnosis links against the visit note before the claim goes out, and tell you when documentation could be stronger.
What we do
- CPT, HCPCS and ICD-10 codes checked against the visit note
- Modifier review (for example 25, 59 and telehealth modifiers)
- Diagnosis-to-procedure links that support medical necessity
- Feedback to providers when documentation doesn't support the code
- Payer-specific rules applied before submission
Questions about coding review
Do you change the codes my providers choose?
We never change a code silently. When the note supports a different code, we ask the provider and keep a record of the change.
Related services
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