Full Revenue Cycle Outsourcing
Health Information Management
2-3 DAYS
Ensemble System-Wide Unbilled Performance
Source: HFMA MAP award winner statistical data 75th percentile.
Note: Ensemble averages consist of full outsource partners greater than one year
Our HIM Services Provide
Coding Services
Certified, experienced coders delivering quality coding 365 days per year
CDI Services
Ensures complete and accurate documentation for accurate reimbursement and quality of care outcomes
Release of Information
Timely release of medical records in accordance with HIPAA and other state and federal regulations
DRG Downgrades and Clinical Appeals
Appeals filing associated with coding and clinical DRG downgrades in order to retain appropriate reimbursement
DRG Validation
“Human + Machine” process identifies potential coding/documentation opportunities to optimize claim value and payment
The Ensemble Difference
100% of operators certified by AHIMA, AAPC, and/or HFMA
99% average coding & HIM quality score
Human+Machine DRG Validation with EnsembleIQ
Daily review of accounts > 2 days to define root cause and resolution
Timely capture of documents including achievement of HIMMS 7 target goal
Emphasis on continuous training
