Health Information Management

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

Medical coding

CODING SERVICES

Certified, experienced coders delivering quality coding 365 days per year

CDI services

CDI SERVICES

Ensures complete and accurate documentation for accurate reimbursement and quality of care outcomes

Release of information

RELEASE OF INFORMATION

Timely release of medical records in accordance with HIPAA and other state and federal regulations 

Diagnosis related group downgrades

DRG DOWNGRADES AND CLINICAL APPEALS

Appeals filing associated with coding and clinical DRG downgrades in order to retain appropriate reimbursement

Diagnosis related group validation

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