Empire Healthcare Consulting utilizes certified medical coding professionals to evaluate and review medical records to assure appropriate CMS Hierarchical Condition Category (CMS-HCC) assignment and accurate payment. Our goal is to improve diagnosis capture, promote adherence to CMS guidelines, and provide education based on data analysis which allows us to identify anomalies and discrepancies in the practitioner’s activities. Following each review, we provide our clients with customized education and a detailed action plan.

External audits performed by Empire Healthcare Consulting can validate the findings of internal audits completed by your staff in order to evaluate the accuracy of your current documentation and coding practices.

Empire Healthcare Consulting can abstract all ICD-10 codes in the patient chart based upon the documentation provided. Our Medicare Risk Adjustment coders offer comprehensive coding for all active diagnoses, previous illnesses, and status conditions that have been documented in the patient’s record. All diagnoses are coded to the highest level of specificity for each visit using the correct ICD-10 codes. More importantly, our certified coders assign the correct HCC (Hierarchical Condition Categories) codes required by CMS to report the health status of your patients.