Maximizing Revenue and Compliance with Industry- Best Coding Services
Inpatient (Hospital and Physician)
Hospital
- SOL MICROSYSTEMS specializes in improving CMI and DRG-based revenue, directly enhancing cash flow and revenue for hospital and health system clients.
- We focus on reducing DNFB by expediting backlog clearance and optimizing coding workflows. Coders and auditors are skilled in Medicare Severity (MS) and All Patient Refined (APR) DRG systems. Our QA teams ensure proper capture of complications and comorbidities (CC) and major CCs (MCC).
- Regular weekly, monthly, and quarterly reviews with HIM managers and hospital Clinical Documentation Improvement (CDI) teams promote communication on documentation trends, hospital-acquired conditions, and improper admissions that impact case mix index, volume forecasts, and quality reviews.
- Our coders are trained not only in coding acute inpatient stays but also in Inpatient Rehabilitation Facility PPS (IRF-PAI) coding, OASIS guidelines for Home Health, and Long-Term Care Hospital PPS (LTCH).
Physician
- SOL MICROSYSTEMS ensures our coding team is proficient in all CMS regulations and correct coding initiatives for hospitalist coding. Our teams perform thorough documentation reviews to assign appropriate E/M levels, with medical necessity as the primary factor for initial, subsequent, and discharge hospital services.
- Our coders are well-versed in critical care requirements and coding consultations.