OUR VISION To assist healthcare organizations in achieving their goals by providing quality solutions, staff and education to help them stay on top of an ever-changing revenue cycle environment.
Managed Resources is a professional consulting group assisting organizations across the United States in achieving accurate and appropriate charging, documentation and payment. CodingAID, a specialized division of Managed Resources, assists healthcare organizations optimize its revenue cycle management with coding, compliance, education and recruitment solutions.
Revenue Cycle Solutions • Clinical Appeals Management • Clinical Documentation Improvement Charge Audit • Nurse Defense Audit • Regulatory Compliance Audits Coding Solutions • Physician & Facility Coding Support • Outsourced Coding Training & Education • Coding Audit & Review • Recruitment
OUR SERVICES CLINICAL APPEALS • Our clinical appeals team Review and analysis of denials consists of licensed nurses • Writing professional appeal letters and physician advisors, who conduct a thorough analysis • Quality assurance review of denied claims with • Submission corresponding medical records to verify recoverable • Follow-ups revenue for all payers. • Reporting & education • Retrospective audits
OUR SERVICES CLINICAL DOCUMENTATION • Concurrent & Retrospective Reviews IMPROVEMENT • CDI Staffing • Our national network of Clinical Education & Training Documentation Improvement (CDI) specialists support the improvement of physician documentation to reflect the severity of illness and risk of mortality of patients across all areas and payers.
OUR SERVICES CLINICAL DENIAL AUDITS • Clinical Documentation The strength of our service lies • Internal Process Improvement in the breadth of experience • Compliant with National & Payer within our team. Our team of highly experienced RN’s are Criteria & Guidelines well-versed in healthcare statutes, payer policies, and national guidelines.
OUR SERVICES CHARGE AUDITS More than just review, our team • Concurrent and Retrospective Audits of charge audit nurses provide • Documentation Improvement practical strategies to assist you in improving the accuracy, • Charge Process Improvements compliance, and governance of • Targeted Audits charges. • Nurse Defense Audits • Detailed Reporting • Reveal Significant Revenue Often Missed
OUR SERVICES REGULATORY COMPLIANCE • Clinical Documentation Audits AUDITS • Inpatient Rehab Facilities Regulatory audits for highly • Renal Dialysis Centers regulated clinical services are • necessary to maintain Documentation Improvement for compliance. Our team of Clinical Staff compliance audit RN’s are well - versed in government • Review and Revision of healthcare statutes. Documentation Templates
OUR SERVICES CODING SERVICES • We offer results oriented coding Outsourced Coding Services solutions from a team of highly • Concurrent Production Coding Services experienced and certified • facility and physician coding Backlog Coding Support professionals across all • Contract Coding - Ongoing or Per-Diem specialties. • Specialty Specific Coding • Concurrent Provider Feedback & Education • Denial & Edit Resolution
OUR SERVICES CODING AUDITS • Professional, Inpatient & Outpatient Our coding audit program is designed to strengthen Reviews compliance and coding • Comprehensive Evaluation of Coding accuracy through a detailed review, reporting, and education Compliance process. • Detailed Reporting (Line Item Detail, Executive Summary) • Review of Coding Safeguards • Department Processes • Potential Documentation Issues
OUR SERVICES RECRUITMENT • Direct Hire As a proven recruitment resource, we specialize in • Interim Management identifying, locating and evaluating top talent for • Contract Support healthcare organizations across the nation.
OUR SERVICES TRAINING & EDUCATION • Provider Training Comprised of respected • Coder Training Sessions industry leaders and educators • Education on Topics Including that have an average of over 20 years of experience, our coding or audit results, OIG high-risk education leadership bring the breadth of experience to assist areas, specialty specific topics, you in meeting your goals. coding updates & more
“ I can honestly and without hesitation declare these to be the absolute finest, most thorough, comprehensive and “ convincing clinical appeal letters I have ever seen in my 25+ year career.
LEARN MORE managedresourcesinc.com managedresourcesinc.com/codingaid
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