Tailored Solutions, Measurable Results
Elev8RCM's physician-led clinical documentation review takes place after discharge but before billing, encompassing all inpatient DRG payers (MS/APR). This process ensures a swift chart turnaround time to minimize the impact on DNFB.
Here's how we do it
​
Precision Coding Audits:
Our team of seasoned coding experts conducts comprehensive audits of your medical records to ensure accuracy and compliance with coding guidelines. By identifying coding errors, inconsistencies, and missed opportunities, we unlock untapped revenue potential while mitigating compliance risks.
​
Clinical Documentation Excellence:
Effective communication of patient care is fundamental to accurate coding and reimbursement. Our CDI specialists collaborate with your clinical staff to improve documentation practices, capture complete and specific diagnoses, and paint a clearer picture of patient acuity and severity.
​
DRG Optimization:
Diagnosis Related Groups (DRGs) are the cornerstone of hospital reimbursement. Through strategic analysis and optimization strategies, we help you navigate the complexities of DRG assignments, minimize audit vulnerabilities, and maximize reimbursement for the care you deliver.
​
Denials Management
Elev8RCM offers comprehensive denials management services and a robust appeals process tailored for all DRG denials. Our expert team proactively identifies the root causes of denials, utilizing advanced analytics to prevent future occurrences. We meticulously review each denied claim, ensuring that all necessary documentation and coding are accurate and complete. Our appeals process is thorough and strategic, leveraging our deep understanding of payer policies and regulatory requirements. By partnering with Elev8RCM, healthcare organizations can significantly reduce their denial rates, recover lost revenue, and improve overall financial performance, all while maintaining compliance and enhancing the quality of patient care.
Tailored Solutions, Measurable Results
We understand that every healthcare organization is unique. That's why we tailor our solutions to align with your specific needs, challenges, and goals. Whether you're a standalone community hospital or a large healthcare system, we're committed to delivering tangible, measurable results that drive sustainable financial performance and clinical excellence.