Customized solutions to optimize clinical documentation, coding accuracy, and revenue integrity.

Leveraging AGS Health’s team of skilled physicians and healthcare professionals to provide customized solutions to optimize clinical documentation, medical coding accuracy, and revenue integrity. Our physicians collaborate with your healthcare team ensuring accurate documentation reflecting patient conditions and care complexity. Additionally, we facilitate peer-to-peer reviews with insurance companies, enabling direct discussions between our physicians and the insurers' medical professionals. This collaborative approach promotes transparency, enhances communication, and fosters mutual understanding of complex cases.

Expert guidance supports optimal clinical and operations management to enhance quality, ensure regulatory compliance, and greater operational and financial efficiency. Services provided include:

• Integrating quality management, resource utilization, patient safety, regulatory compliance, and clinical documentation.
• Advice and support related to the medical necessity of services.
• Review of clinical records and documentation.
• Analysis of appeal and denial claims.
• Accurate documentation of patient conditions, symptoms, and treatments.

BENEFITS

Optimized Clinical Documentation and Coding Accuracy Ensure clinical documentation accurately reflects patient conditions and the complexity of care provided to optimize revenue and maintain regulatory compliance.

Increased Revenue Minimize financial losses through effective handling of clinical denials and appeals to ensure more efficient resolution and secure proper reimbursements.

Improved Communication and Transparency Peer-to-peer reviews and direct discussions between healthcare professionals and insurance companies promote transparency, enhance communication, and foster a mutual understanding of complex cases.