Risk Adjustment Coding (Retrospective, Prospective, and Concurrent Reviews - 1LR and 2LR):

As a leading provider of Risk Adjustment Coding services, VEERSP offers comprehensive solutions for small and large healthcare plans and provider groups across Medicare Advantage, Medicaid, Commercial, and ACA lines of business. ... Our experienced, certified clinical coding team is dedicated to delivering accurate, timely, and compliant coding for retrospective, prospective, and concurrent services. We understand the complexities of risk adjustment coding and work collaboratively with our clients to achieve their goals. Our rigorous quality assurance processes, including dedicated audit and quality assurance teams, ensure that our coding services meet the highest industry standards. By leveraging our expertise and commitment to excellence, VEERSP helps clients optimize reimbursement, improve compliance, and make data-driven decisions.

Diagnosis based coding
Chronic illness and Disability Payment Systems (CDPS)
Hierarchical Co-Existing Conditions (HCC-C)
Inpatient - Diagnosis related groups (IP-DRG)
Outpatient – Adjusted clinical Groups (ACG)

Prescription based coding
Hierarchical Co-Existing Conditions (HCC-D)

Surgery Coding

Our team provides comprehensive surgery coding to ensure accurate billing for surgical procedures and that claims are submitted correctly for maximum reimbursement.

... Surgery coding involves assigning specific codes, primarily using the Current Procedural Terminology (CPT) codebook, to medical procedures performed during surgery. These codes help classify and track surgical procedures, ensuring accurate billing and reimbursement.

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Risk Adjustment Data Validation (RADV) Process

Our Risk Adjustment Data Validation (RADV) audit services identify discrepancies in your risk adjustment data, ensuring that your data is both accurate and verifiable to avoid financial penalties.
... Our RADV Process:
We collect your risk adjustment data and related medical records.
Our experienced auditors carefully review the data for accuracy and completeness.
We identify any errors or omissions in the data.
We provide recommendations for correcting identified errors.
We provide a detailed report outlining our findings and recommendations.

Emergency Visits Coding

A Critical Component of Healthcare Revenue Cycle Management Our skilled, certified professional emergency department (ED) coders possess a deep understanding of emergency visit coding guidelines.
... They accurately determine the appropriate level of service, observation status, and modifiers to capture the complexity of the visit, including critical care services. Additionally, they ensure that medical records are comprehensively documented to support coding decisions, optimizing reimbursement and compliance.

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HEDIS abstraction (The Healthcare Effectiveness Data Information Set):

Evaluating Healthcare Plan Success Through Comprehensive Medical Record Abstraction
... Healthcare organizations must assess the quality of care provided by health plans to ensure their members receive the highest-quality treatment and services. Medical record abstraction is a critical process that involves meticulously reviewing patient records to extract essential information, such as blood pressure readings, immunization dates, diabetic eye exam results, BMI, LDL levels, and more. Our certified professional coders possess the expertise to efficiently and accurately abstract this data, providing healthcare organizations with a comprehensive understanding of patient outcomes and the effectiveness of their health plans. This valuable information enables organizations to identify areas for improvement, measure performance against industry benchmarks, and ultimately deliver superior care to their members.

Interventional Radiology Coding:

Interventional radiology (IR) coding requires meticulous attention to detail to ensure accurate billing for procedures performed by interventional radiologists.
... Our skilled, certified professional IR coders are adept at assigning specific CPT codes for angiography, embolization, biopsy, catheter placement, and other IR procedures. By carefully selecting appropriate modifiers, we optimize reimbursement and minimize claim denials. Our expertise in IR coding ensures that the complexity and intensity of services provided are accurately reflected in the billing, leading to timely and appropriate payments.

SAS Clinical Services

Our SAS Clinical Services suite is designed to empower Clinical Research Organizations (CROs) with advanced tools for efficiently managing and analyzing clinical trial data. By ensuring regulatory compliance and fostering data-driven decision-making, our services enable CROs to streamline operations, improve trial outcomes, and meet the highest standards of precision and accountability in clinical research.
... SAS Clinical Services, or Clinical SAS, focuses on applying the SAS software suite to manage, analyze, and interpret clinical trial data, while adhering to regulatory standards like CDISC. This specialized application of SAS programming helps clinical research organizations navigate the complexities of clinical trials and ensure data integrity and compliance.

Clinical Data Abstraction

Streamlining Healthcare Data Management with Clinical Data Abstraction

Clinical data abstraction is a critical process that involves identifying and extracting key administrative and clinical data elements from patient records. Healthcare organizations rely on this data for various purposes, including administrative coding, quality improvement, patient registries, and clinical research.
... Our skilled professional auditors and abstractors are proficient in reviewing patient electronic files and extracting essential data from radiology reports, patient progress notes, hospital records, and other relevant sources. This meticulous process ensures that healthcare organizations have access to accurate and comprehensive data for informed decision-making and effective operations.

Multi speciality - E & M Coding (Evaluation and Management)

Evaluation and Management (E/M) coding is a critical component of medical billing, ensuring that healthcare providers receive appropriate reimbursement for patient encounters.E/M coding is essential for billing Medicare, Medicaid, and private insurance programs. ... Our experienced, certified professional coders meticulously review medical records to accurately capture the complexity and intensity of patient visits. By ensuring precise E/M coding, we help healthcare providers maximize their reimbursement while maintaining compliance with industry standards.

End-to-End Revenue Cycle Management (RCM)

Streamlining Healthcare Finances with Comprehensive Revenue Cycle Management
We offer a full-service RCM solution that covers the entire revenue cycle—from patient registration to claims submission and payment—streamlining your processes and improving your cash flow.
... Our certified professional coders possess a deep understanding of the entire RCM process, meticulously reviewing medical records to ensure accurate diagnosis and procedure coding. Correct coding is essential for accurate billing and timely reimbursement from insurance companies and government payers. By deploying highly skilled and experienced coding professionals, we minimize claim denials and rejections, accelerating payments and optimizing revenue flow for healthcare organizations.