Concurrent Review
Successfully Submit Complete, Documented Claims
In between the time a healthcare provider consults with a patient and a claim is adjudicated, you have a window of opportunity to double-check that all diagnoses have been correctly coded and documented. With Episource’s Concurrent Review service, you can take full advantage of this opportunity by having your codes and submissions independently verified and corrected. Gain confidence in your coding and avoid the negative ramifications of inaccurate submissions.
After the patient encounter, our expert coding team examines the medical record to determine if the assigned codes properly align with the provider’s notes. We validate codes that have been included on the claim, retract codes that are not substantiated, and add codes that are indicated but were not captured. You can feel confident in the claims you submit.
While coding errors may be rectified after submission, these retrospective adjustments create a false picture of both the health of patients and the reimbursements you can expect. Concurrent Review delivers the accuracy you and your patients deserve.
Key Features
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Coding Expertise
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EMR-Agnostic
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Efficiency
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Suggested Care Gaps
Your medical records will be reviewed by our team of experienced coders, all of whom are full-time Episource employees.
Our service was designed to be compatible with all EMRs so you can complete all coding work without having to navigate outside of your own system.
Concurrent Review provides feedback in a timely manner so your submissions and reimbursements will not be delayed.
We identify gaps that are indicated in the medical record but were not documented on the claim.