Services

HIM SERVICES

NexG Healthcare Solutions offers a wide-range of HIM services to hospitals and large physician groups nationwide. Services include Professional Fee Coding, Facility Coding and Coding Audits. Our robust team of HIM professionals is ready to support healthcare facilities of all sizes – large, medium and small. The HIM industry is constantly evolving, which makes it challenging for healthcare providers to stay current with industry changes. NexG is committed to educating and updating our clients on a continuous basis; and we’re also dedicated to keeping our staff current on all evolving compliance requirements. NexG's team of auditors works closely with each client to create a customized solution ensuring that our clients’ unique needs are being met.

Medical Coding

There are 55,000 dx codes added by AMA in ICD-10 as compared to 11000 dx codes as per ICD-9. Also the in-patient procedure codes grow to a whopping 87,000 from 11,000 in ICD-9.

Multiply that by the massive effort required in the correct understanding of their usages, and you can very well understand why AMA estimates that the expenses for the conversion would range from a minimum of about $100,000 to a maximum estimate that runs into millions of dollars, even for a small-sized clinic.

We at NexG Healthcare understand that coding is the lifeblood of the RCM. Accurate coding is pivotal in meeting compliance and financial targets. Medical coding can be intricate yet time sensitive, where losing out a coder can impact revenue multifolds. We have a team of medical coders who are accurate, productive, and experts in all types of inpatient and outpatient coding. Medical coding outsourcing will assist you achieve your goals Partnering with NexG will not only fortify your existing coding but will also improve the overall RCM, all this while eliminating backlogs, staffing issues and overall cost for coding.

Coding Validation Audits

” We at NexG provide pertinent and comprehensive and Coding and documentation compliance audit. Our tested and trusted methods help you to assess your coding accurately and offer you the chance to reach operational excellence you rightly deserve.

Post completion of coding compliance audits , a detailed and customized report will be provided to you which would highlight our assessments and findings on how you can improve your coding accuracy, your clinical documentation, and the reimbursement levels. Our goal is to assist you with meeting CMS, AMA, AHIMA, and AHA standards.


Auditors at NexG are professionals of vast knowledge and caliber. They are certified, experienced and passionate about getting every single details to utmost perfection. Rest assured you are in the safest of hands.”

 

CDI

Clinical documentation improvement (CDI) is the recognized process of improving healthcare records to ensure improved patient outcomes, data quality and accurate reimbursement

New imperatives on the healthcare landscape are making accurate clinical documentation more important than ever. RAC, Medical Necessity, ICD-10, pay-for-performance, and the growth in volumes resulting from the ACA are all impacting healthcare organizations. The ability to get reimbursed is directly dependent on the quality of clinical documentation. Missing, poor, or non-specific clinical documentation will result in revenue loss.

We can help you get paid by improving your clinical documentation. Our CDI Specialists are professionals of vast knowledge and caliber. They are certified, experienced and passionate about getting every single details to utmost perfection. Rest assured you are in the safest of hands. Whether our CDI professionals are assessing your program or supplementing your staff, they will help develop, improve, and maintain your clinical documentation. NexG also offer comprehensive CDI audit solutions that provides you with a complete overview of MS-DRG and APR-DRG metrics, Severity of Illness, Risk of Mortality, and Financial opportunities.

ICD - 10 Evaluations

 

 

Education & Staffing