Healthcare
Our valued partners have seen tremendous improvements in Risk Adjustment and Revenue Cycle Management with the use of our Billing and Coding support, analytical tools, and predictive analysis.
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Billing
Our team provides support in the entire claims submission cycle and provides analysis on areas of inefficiency.
Claims Submission
Claims Reconciliation
Claims Resolution & Denial Management (Rejections, Resubmission, Reconsideration)
Accounts Receivable Management
Statements
Revenue Cycle Management Audits
Accounts Receivable Analysis & Optimization
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Coding
JG Advisors evaluates your current coding processes and identifies areas of improvement. In addition, can support your team in the following areas:
Redocumentation
HEDIS
Risk Analysis Validation
Retro and Concurrent Review
Point-of-Care Alerts Integration
Pre-Visit submission accuracy review and actions to validate clinical documentation
Claim Batches Creation and Submission
Coding Audits
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Analytics
Our team utilizes a full suite of analytical tools to help your organization organize and visualize your data.
Data and Reporting Dashboards
Data Ingestion and Management
Payor Financial Reconciliation
Additional Diagnosis Opportunities and Suspecting
V28 HCC Analysis
Predictive Analysis and Machine Learning
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Provider Education
A key component to improving documentation and long-term consistency is provider education. We educate providers on best practices and ensuring documentation is done at a high level of specificity. We provide evaluation and analytics to support where training initiatives need to be focused.
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RADV Analysis
Our RADV analysis pinpoints ICD code trends and flags coding anamalies. We work with your team to evaluate the root cause and engage with the health plan as well as the provider and request medical records for validating the HCC.