Ethica provides a comprehensive array of services designed to improve performance and efficiencies for physician practices, health systems and others in the healthcare industry. We specialize in delivering IT solutions, clinical transformation strategies and performance improvement tactics that solve our client’s needs. Our focus on creating customized solutions to best meet our client’s goals ensures measurable results and overall customer satisfaction.
Customized services to meet your needs
Physicians are now being rated by Medicare, Medicaid, Blue Cross Blue Shield of Michigan and other key payers based off total cost of care. As the fee for service model is retired, payers are compensating based on the patient’s health status and subsequent risk adjusted cost of care score. Accurate diagnostic coding plays a crucial role in identifying the disease burden of the patient population physicians are treating and subsequently adjusting the cost of care accordingly.
Ethica services will provide your practice with hands on, face to face assistance to accurately capture diagnostic codes. Our team can help you decrease or avoid loss of referrals to other providers who appropriately code and have lower risk adjusted cost of care, loss of revenue, or even litigation for fraudulent billing. Some topics covered in our services include:
- Diagnostic coding education
- New Medicare coding education
- EIDM account set up
- Review of current forms and processes
- Specialty specific diagnostic codes per claim reports-practice and provider level
- Specialty specific quick reference pocket coder cards
- Biller survey
- Chart review for coding opportunities