A TRUSTED PARTNER
FOR YOUR
RISK ADJUSTMENT SOLUTIONS

Our performance is your success.
Our passion is innovation.
Our expertise is unmatched. We get you more.

Who we are

A Reliable Partner for Your Coding Needs

MEDCODE is a dynamic organization of professionals delivering superlative services and powerful transformations in medical coding for the healthcare industry. Specializing in Risk Adjustment coding, we deliver holistic solutions that embody quality, security and excellence at every touchpoint.

Perceptive and perseverant, we bring a consultative approach to understand the complete needs of our clients and deliver tailor-made solutions that are comprehensive, precise and legally compliant in all aspects. Combining deep expertise and domain knowledge with impressive innovations, we help clients unlock value. Be it Retrospective, HEDIS – (Hybrid / Supplemental), Concurrent, RADV for Medicare, Medicaid, and Commercial Insurance, we have the experts and expertise to undertake transitions and launch operations of any scale successfully.

MedCode at glance

Let us do the work, so you can focus on what matters .

With strong focus on ethics, data security and transparency, we drive operational excellence and continual improvement plans. Resourceful with a wealth of offerings, we are a progressive company that can easily bridge any offshore gaps in a globalized world.

Our highly skilled AAPC and AHIMA certified coders are experienced and empowered to perform at their optimum best. Robust and well-designed training programs ensure that they are always up to date with the latest developments and requirements. Such programs and our forward-thinking approach, give us the agility to scale up easily. Customers are thus assured of absolute peace of mind when they engage with us.

Cost Reduction
40 %
Consistency in Accuracy
95 %
Meeting the Timelines
90 %
24/7 Availability
90 %
What we offer

Improved Financial Performance

RISK ADJUSTMENT CODING

We carry end-to-end expertise in risk adjustment coding and are specialists in the same. Our actions bring total transparency to operations and track the progress and provide detailed reporting and visibility at all touchpoints. MEDCODE offers world-class coding services and our proud of having some of the best resources in the industry on our rolls.

Additionally, we are capable of undertaking risk-adjustment audits, including chart reviews, audits of documentation and medical records etc. We work closely with customers to understand the requirements in detail, come up with proactive suggestions and solutions and create personalized risk adjustment HCC coding solutions to achieve shared success.

HEDIS ABSTRACTION

MEDCODE brings unmatched expertise to HEDIS support, and our personnel can abstract, analyze and report accurately on all HEDIS measures as per the relevant NCQA technical specifications. We can thus enhance the quality and star ratings for customers and deliver value to clients. Our HEDIS abstractors have expertise in all measures and a strong background in clinical knowledge.

By close monitoring and closing of real-time gaps, we ensure high compliance and improvement in the effectiveness of interventions and clinical care.

External Quality Review

MEDCODE conducts external quality review activities that help determine the missed opportunities. We also deliver recommendations regarding the correct codes to submit for better risk scores. We undertake this activity by adhering to the documentation and Medicare guidelines as appropriate.

RADV AUDIT SERVICES

Our RADV audit services offer key insights and help prepare for the RADV audits. We can assist with the review of medical records submitted with claims and also check whether the right ICD 10 codes are assigned. With the resources, expertise and infrastructure to meet high volumes and tight deadlines, we empower customers and prime them for success.

Your Partner in Recovering Lost Revenues

MEDCODE has helped many Healthcare businesses to be successful with their medical coding needs.
WHY MEDCODE?

PHYSICAL INFRASTRUCTURE

SOC 2 TYPE ||

Assurance to protect the confidentiality, availability, and integrity of your data.

ISO/IEC 27001:2013

Certified platform designed in compliance with HIPAA standards

HIPAA standards

State-of-the-art Information Security Management System designed in compliance with HIPAA standards

WORLD CLASS INFORMATION SECURITY AND COMPLIANCE

Extensive Training Programs on HIPAA / HITECH, Fraud Waste and Abuse (FWA)

Integrated Business Continuity / Disaster recovery plans

Biometric Access Control, 24/7/365 CCTV Surveillance and security Systems

Best-in-class infrastructure Risk management Practices that guarantee 99.9% uptime

General services Administration’s (GSA), Parties List System Exclusion Check, Office of Inspector General (OIG)

Office Of Foreign Asset Control’s (OFAC) Specifically Designated Nationals List (SDN) Exclusion Check

Comprehensive Background, Educational Qualifications And Credentials Verification

TECH-ENABLED OPERATIONS

medcode-Internal-workflow-01

Internal workflow Management tool to track

medcode-Reporting-Analytics-01

Reporting
& Analytics

medcode-Access-01

Access to the complete online dashboard to track

medcode-Training-01

Access to the complete online dashboard to track

PHYSICAL INFRASTRUCTURE

SOC 2 TYPE ||

Assurance to protect the confidentiality, availability, and integrity of your data.

ISO/IEC 27001:2013

Certified platform designed in compliance with HIPAA standards

HIPAA standards

State-of-the-art Information Security Management System designed in compliance with HIPAA standards

WORLD CLASS INFORMATION SECURITY AND COMPLIANCE

Extensive Training Programs on HIPAA / HITECH, Fraud Waste and Abuse (FWA)

Integrated Business Continuity / Disaster recovery plans

Biometric Access Control, 24/7/365 CCTV Surveillance and security Systems

Best-in-class infrastructure Risk management Practices that guarantee 99.9% uptime

General services Administration’s (GSA), Parties List System Exclusion Check, Office of Inspector General (OIG)

Office Of Foreign Asset Control’s (OFAC) Specifically Designated Nationals List (SDN) Exclusion Check

Comprehensive Background, Educational Qualifications And Credentials Verification

TECH-ENABLED OPERATIONS

medcode-Internal-workflow-01

Internal workflow Management tool to track

medcode-Reporting-Analytics-01

Reporting
& Analytics

medcode-Access-01

Access to the complete online dashboard to track

medcode-Training-01

Access to the complete online dashboard to track

Where technology meets business.

HEDIS Abstraction 99%
Risk Adjustment Coding 99%
External Quality Review 99%
RADV Audit Services 99%
Contact Us

We would love to hear from you and be of service to you.