Transformation Services

HCC Coding Services: Hierarchical Condition Category (HCC) coding is pivotal in healthcare, serving as a risk-adjustment model for estimating future healthcare costs. Medical Billing Wholesalers utilizes ICD-10 coding to assign risk scores to patients, incorporating demographic elements for precise healthcare cost predictions. Our team of AAPC and AHIMA certified coders, backed by extensive global delivery practices, ensures comprehensive and accurate coding solutions. We specialize in retrospective chart audits, identifying miscoded, un-coded, and under-coded charts to address clinical documentation gaps, ultimately maximizing ROI for health plans and refining risk adjustment programs.

Provider Credentialing: Physicians/providers must undergo credentialing, enrolling and attesting with the Payer’s network to provide services to patients under the Payer’s plans. This process verifies a physician’s qualifications, including education, license, experience, certifications, affiliations, malpractice history, and training, ensuring standards for clinical care delivery are met.

Scribing Services: Scribing Services aid in documenting and maintaining clinical records by assisting physicians. Experienced scribes with clinical documentation expertise support physicians in recording their work in office or facility settings. Scribes do not provide clinical care independently but ensure accurate documentation of physician activities.

Technology and Automation: We empower you to efficiently manage outsourced operations with real-time inventory status reporting, KPIs, and revenue cycle performance information for all your practices. Leveraging intelligent automation and workflow technologies, our revenue cycle operations are focused and successful. We utilize productivity improvement tools such as robotic process automation and efficient business intelligence tools to enhance collections management.

Revenue Cycle Analytics: With MHS’s Revenue Cycle Analytics Services, you gain insights into your revenue cycle performance. Our solutions leverage revenue cycle operational expertise to transform processes into market-leading practices, enabling you to monitor, measure, and manage revenue cycle processes, conduct denial analytics, and enhance collections.

Marketing Services: Your success in the healthcare industry depends on your brand’s reputation, whether you’re a physician practice or a revenue cycle services aggregator. At MHS, we leverage our healthcare expertise to help you develop and implement a thriving digital presence, manage customer perception and reviews, enhance traffic through search engine optimization, and establish a robust digital footprint across social media channels.