Identify compliance risks and uncover missed revenue. Our comprehensive medical coding review services evaluate your clinical documentation against billed codes to prevent audits, correct downcoding, and educate your staff.
Routine audits of your coded claims against clinical documentation are vital. Errors can lead to severe compliance risks or substantial lost revenue through downcoding. By utilizing professional medical coding review services that adhere to guidelines from the AAPC, you ensure every claim is accurate, compliant, and fully optimized.
Validate E/M levels and specific CPT/ICD-10 codes
Mitigate compliance risks from RAC or OIG audits
Identify missed revenue opportunities from under-coding
A dedicated team of certified auditors that evaluates your coding patterns to protect your practice and educate your providers.
We review claims against clinical notes before they drop to the clearinghouse, catching and correcting errors to stop denials before they happen.
We analyze historical paid and denied claims to identify long-term coding trends, systemic issues, and potential compliance liabilities.
Strict evaluation of NCCI edits, unbundling, and adherence to local and national coverage determinations (LCD/NCD) rules.
We ensure evaluation and management codes perfectly match the medical decision-making (MDM) documented to avoid upcoding penalties.
Thorough review of inpatient DRGs and HCC risk adjustment codes to ensure accurate severity of illness reporting and optimal reimbursement.
We translate audit findings into actionable feedback and customized training sessions to improve your physicians' documentation habits.
We select a statistically valid sample of claims (prospective or retrospective) based on your practice size and specific needs.
Our certified auditors rigorously compare billed codes against the actual clinical notes and operative reports.
We accurately flag instances of upcoding, downcoding, missing modifiers, and unbundled services within the sample.
You receive a detailed variance report alongside targeted educational sessions designed specifically for your providers.
Don't wait for a payer audit to find out your coding is flawed. We proactively audit your claims so you stay compliant and correctly compensated.
Our tailored medical coding review services include specialized coding knowledge and robust auditing logic across 40+ practice types.
See how we’ve helped medical centers uncover revenue and eliminate compliance risks.
"Since Synergy started their medical coding review, our providers finally understand E/M leveling. Our compliance risk has plummeted and our records are pristine."
"Their retrospective audit uncovered massive downcoding in our surgical claims. We recovered significant revenue we didn't know we were losing."
"The detailed variance reports and one-on-one provider education are phenomenal. Highly recommend their auditing team for anyone worried about RAC audits."
"We used to dread payer audits, but Synergy’s proactive reviews have made our coding practically bulletproof. It's the best investment we've made in our billing department."
"Since Synergy started their medical coding review, our providers finally understand E/M leveling. Our compliance risk has plummeted and our records are pristine."
"Their retrospective audit uncovered massive downcoding in our surgical claims. We recovered significant revenue we didn't know we were losing."
"The detailed variance reports and one-on-one provider education are phenomenal. Highly recommend their auditing team for anyone worried about RAC audits."
"We used to dread payer audits, but Synergy’s proactive reviews have made our coding practically bulletproof. It's the best investment we've made in our billing department."
Get a free consultation to see how our medical coding review services can secure your revenue and protect your practice from compliance risks.
