Our services
● Collection of relevant data
● Reporting and
● Submission of data
● Abstraction of medical records
● Retrieval of medical records
● Audit of medical records
INDIVIDUAL PROCESSES-UNIT PRICE
While offering a number of exemplary services Fedora Healthcare makes sure that all services are also cost-effective for its clients. We do work on Per Chart/line item basis or FTE/PTE basis. Most of the time we provide service charges on a per-hour basis. In all such cases, we let our clients only pay for the resources they have actually used and that they don’t get charged for anything unnecessary.
OUTPATIENT CODING SERVICES
MEETING THE DEMAND
Nowadays, outsourcing medical billing services is in high demand. Research has shown that reliable offshore medical billing partners make significant improvements to the bottom-line. Fedora Healthcare operates with the promise to provide seamless and efficient medical billing services.
ACCURACY AS OUR PRIORITY
At Fedora Healthcare, our team of well-trained medical coders provides coding services to healthcare professionals. We use ICD and CPT codes and modifiers to make the billing process more accurate, and we make sure that diagnoses and procedures are transcribed accurately. In coding services, the provision of accurate results is crucial and improves turn around time (TAT).
MAXIMUM VALUE
Pro Fee or Professional coding covers the provider’s site, so at Fedora Healthcare we make sure that they receive maximum reimbursement through effective and accurate coding services. The need for professional fee coding is increasing, so to meet the demands of the changing times, Fedora Healthcare aims to provide the best and most authentic Pro Fee services to its clients.
TRAINED AND EDUCATED
Our highly qualified team of medical coders has removed the hassle of huge backlogs by hospitals and physicians. Not only that, but we have well-trained staff specifically for this purpose. We keep our staff educated and updated with the changing standards, and our Onshore & Offshore teams have at least one certification from AAPC or AHIMA.
Moreover, our Pro Fee coding services cover a large number of medical areas such as Urology, Orthopedics, Oncology Wound Care, etc.
Specialty Coding:
E&M Services
Profee Coding for Medical Specialties like:
Anesthesia
Cardiology
Dermatology
Endocrinology
Gastroenterology
General Medicine
Hematology
Internal Medicine
Neurology
Oncology
Ophthalmology
Orthopedics
Pain Management
Pathology
ENT
Family Medicine
HCC CODING SERVICES/RISK ADJUSTMENT CODING SERVICES
When it comes to Risk Adjustment Coding services we cannot afford any discrepancies. All we
need is accurate results. At Fedora Healthcare we provide comprehensive and integrated Risk
Adjustment Solutions so that our clients can show their trust and confidence in our results. We
make sure that the data provided is free from any gaps and errors. Our vast experience with
HCC coding services over the span of 10 years validate our claim of providing accurate results
to our clients.
We at Fedora Healthcare provide Retrospective, Prospective and Concurrent Coding services and Risk adjustment Data Validation audit (RADV) for Major Healthplans.
We ensure strict compliance with client specific guidelines coding each medical record to abstract HCCs for Commercial, Medicare or Medicaid models.
We have the expertise of abstracting data using Complete Code Capture or HCC Code Capture approach following Client specific Guidelines & ICD-10 CM Official Coding guidelines.
Hence we make sure that we provide our clients with an authentic risk adjustment factor RAF through accurate coding practices. Moreover in order to make sure that our clients receive maximum revenue optimization and compliance our team conducts a thorough review of risk adjustment coding using all the expertise. Our team analyzes all the risk factors with a retrospective approach.
With the help of our years of experience with HCC coding services, we ensure our clients’ high
level of accuracy even before the second review. We at Fedora Healthcare provide single
chart-type pricing (CCC or HCC). At Fedora Healthcare we have gathered a team of
credentialed and well-experienced AAPC and AHIMA certified coders at your service. We make
sure that we provide our clients with HCC coding services while sticking to the coding
guidelines.
HEDIS MEASURES CODING
The HEDIS Measures is a set of standards that are developed by The National Committee on Quality Assurance (NCQA). Based on the quality of care and services provided Healthcare Effectiveness Data Information Set (HEDIS) determines the effectiveness of the health-related plans. The basic objective behind devising the HEDIS tool was to improve the quality of healthcare services. For the purpose of performance improvement, these tools are used by more than 90 percent of America’s healthcare plans.
Keeping in view the importance of HEDIS Measurement Fedora Healthcare provides comprehensive and credentialed HEDIS measurement services to both physicians and insurers. With several years of experience in the field, Fedora Healthcare has attained the position of a reliable medical billing and coding firm. Through our effective and accurate HEDIS measurement services, we assist our clients to reach their NCQA goals effectively. We also make sure that the healthcare facilities provided by our clients provide maximum reimbursement.
Ever Since the inception of Fedora Healthcare in 2015 the company has completed thousands of HEDIS audits. In the process of HEDIS compliance audit, we provide detailed reports to our clients that not only consist of current audit results but also provide recommendations about what is required by the company in the future so that the results can be improved. We also advise our clients about what measures they can take to make their practices better. Lastly, we also provide advice to our clients on how they can deal with the issues that were identified during the HEDIS audit process.
Fedora Healthcare has a dedicated workforce that stays updated with NCQA’s latest revisions and specifications. Our workforce consists of Experienced Certified Medical Coders through which we ensure process optimization and accurate auditing services.
Fedora Healthcare’s team assists the clients in all steps of HEDIS measurement such:
- Collection of relevant data Item
- Abstraction of medical records
- Retrieval of medical records
- Audit of medical records in detail
- Reporting
- Submission of data to NCQA
UNDERSTANDING THE IMPORTANCE OF PHI
Customer privacy is of utmost importance and lies at the core of Fedora Healthcare. The company operates in strict compliance with HIPAA and SOC II Type II. Our systems and processes work in compliance with HIPAA Legislation and safeguard PHI rights. The computing at our staff level is incapable of any data storage. All the confidential data such as client’s access is stored in the data centers in the United States that are in compliance with SOC 2 Type 2. All the facilities at Fedora Healthcare are biometrically controlled and all our operations are paperless. In this way, our clients can avail our best services with complete confidentiality thus maintaining their peace of mind.
