CODING & COMPLIANCE

Ensuring accurate coding, regulatory compliance, and effective auditing is not just a necessity – it’s a cornerstone of financial sustainability and patient care quality. HOLOS+HEALTH is your dedicated ally in the complex realm of healthcare coding, compliance, and auditing.

Coding Solutions For Your Practice

Audit Review Workflow

The platform optimizes audit processes, improving efficiency and simplifying audit reviews from data collection to final reporting. This guarantees accuracy, compliance, and transparency at every stage.

Coding/Audit Compliance

Designed specifically for auditors, our cloud-based platform facilitates review gathering, validation of evaluation and management (E/M) coding, and utilizes our NCCI Edit tool to verify Procedure-to-Procedure (PTP) and Medically Unlikely Edits (MUE). 

Clinical Documentation Improvement

Enhance and mitigate revenue risk by ensuring that clinical documentation accurately mirrors the complexity and severity of patient conditions. Our platform offers standardized clinical documentation checklists to ensure coding adheres to practice standards and protocols consistently.

Pre-Audit Analytics

Pre-audit analytics tools gain insights into your claims and denials data with powerful analytics and reporting. You will identify trends, assess risks, and track audit improvements.

Post-Audit Analytics

Post-audit analytics tools all the user to visually audit results and trends and view peer level comparisons. Reports can be customized to provide focused provider education and training.

Third Party Auditing Services

HOLOS+HEALTH employs a team of highly skilled, experienced auditors who are fully certified and trained to ensure your audits are always accurate.

“I’ve stopped having to file reports annually with our leadership to justify what we pay for your auditing services. Our ROI is off the charts and our staff would mutiny if we stopped using your services.”

“You really are in a league of your own when it comes to a revenue cycle technology solution. You have recognized the clear need for auditing; it’s role in compliance, as well the bigger picture of net patient revenue and compliance.”