Payers and Healthcare Systems Recover Over $150 Million in Revenue with MedKoder’s RAM Technology

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MedKoder, LLC, a full service medical coding management services and technology provider, is pleased to announce that with the implementation of MedKoder’s proprietary RAM technology, their clients have collectively recovered over $150 million in lost premiums.

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We want to do everything we can to help our clients succeed.

MedKoder, LLC, a full service medical coding management services and technology provider, is pleased to announce that with the implementation of MedKoder’s proprietary RAM technology, their clients have collectively recovered over $150 million in lost premiums. The combination of MedKoder’s innovative Risk Adjustment Management technology with their proprietary Natural Language Processor (NLP) and Automated Business Intelligence (ABI) has enabled their clients to achieve this tremendous milestone in premium reconciliations.

MedKoder’s RAM technology offers concurrent and retrospective analysis of encounters to identify, validate and capture HCCs (Hierarchical Condition Categories). This 100% technology-enhanced encounter review is validated by in-house specialized HCC coding professionals prior to submission.

According to Robyn Frechette, MedKoder Director of Business Development, in a growing and ever changing market, providers and health plans can miss significant revenue opportunity due to missed or uncaptured HCCs. MedKoder’s RAM technology has provided payers and providers with a safety net to ensure proper payment based on the true acuity level of their membership. Since its market release, MedKoder’s clients are now able to capture accurate coding to the highest level of specificity that will appropriately reflect the patient population and accurate reimbursement related to those acuity levels. With MedKoder’s RAM technology, the average premium impact for MedKoder clients has been $845 per member per collection period.

When asked about this tremendous milestone, Brian Audler, MedKoder President and CEO says, “We want to do everything we can to help our clients succeed. It is extremely gratifying to see our mission to provide our clients medical coding with financial peace being fulfilled on a daily basis."

MedKoder is still accepting new clients for a 2015 collection period review; however, premiums will be forfeited if not captured prior to the collection period filing deadline that is fast approaching.

For all inquiries and your personal consultation about MedKoder’s Risk Adjustment Management Technology, please call 985-503-7329 or email support(at)medkoder(dot)com.

About MedKoder, LLC:
MedKoder is a full service medical coding management services and technology provider offering expert medical coding in all physician service lines, inpatient and outpatient facility coding, medical risk adjustment management, DRG coding management, coding education, clinical coding documentation improvement, revenue integrity, & revenue cycle consulting.

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Bonnie Lavigne
MedKoder
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