Redefining the logic used behind current summary providers, in their “cut and paste” method and not looking beyond ICD codes to truly access risk of interpreting today’s medical records, specifically coded for Health Care Reimbursement. Comparing EHR to Legacy APS to make sure your exposure is correct, not a variance that would show you several table differences from one record to the next. All provided to you by the industry’s first certified LOMA summarizing team!

All offerings are custom to our clients, but some of our offering include:

• Consolidated Medical Records (CMR)
• Full Automated/Accelerated Triage Report (ATR)
• E – Triage Report
• Maintance RX  Triage Report
• Consolidated Minimum Data Set Report (CMDS)
• Index Report
• Blue Button Reports

• Ordering – Traditional APS or EHR
• Document Verification
• Phone Follow-up
• Document Review
• Payment
• Delivery
• Formatting and Normalization including HL7 FHIR

• Contract Underwriting

-Full time, Part time

-Seasoned Underwriters with up to $10m signing authority

-Apprentice Underwriting Training Program

• Underwriting Requirement Review
• Open Early Claims Review
• Closed Claim Review
• Underwriting Leakage analysis
• Underwriting Guideline and Portfolio Review
• EKG Interpretations
• Medical Chart Review
• Workers Compensation Chart Review

• Staff Augmentation

-Case Managers/Call Center/Tele-Interviewers

– Illustrations, Commissions, Licensing

-Application and data processing or entry

-Document Management

• PMO
• Complete Policy Servicing
• Application and data processing or entry
• Translation of medical documentation

• SaaS of our proprietary platforms
• Migrate legacy data to new platforms, software
• Integration of applications
• Automation of QuickQuotes to Response/Decision
• Digitizing Historic or Legacy Records and conforming all types of data (Normalization, cleansing, deduplication, and enrichment of medical data) structured or unstructured, from APE, HIE, portals, MDS or any medical continuum to be used in any platform and any format

• Coding – ICD, CPT, MIB
• Claims Processing
• Revenue Cycle Management 

–Charge Entry

– Payment Posting

–Account Receivable

-Billing