Giftech takes a “First Time Right” approach to hospital coding that ensures the highest degree of accuracy and reduces the number of denials, appeals and inappropriate payments. By partnering with our clients, we bring the benefit of highly experienced hospital coders, targeted analytics and process expertise to enhance your coding processes and deliver optimized reimbursements and accelerated cash flow.
Our approach
Giftech focuses on improvements that optimize coding processes. Our solution incorporates the ease of a virtual coding platform and a team of specialists highly trained in hospital coding as well as submitting claims, applying cash, posting payments and accounts receivables. With an eye on overall accuracy, Giftech efficiently delivers claims payments and reduces the revenue leakage associated with misapplied payments with specialized support for:
Analytics and Business Intelligence
Our Clinical Performance Solutions provide analytic support designed to identify aberrant claims and stop misapplied payments. By combining Data Mining, Clinical and Analytic services, we help reduce financial and clinical risk and enhance operational insights.
ICD-10 Migrations
The ICD-10-CM/PCS transition will require substantial changes affecting many systems, processes, and people. Giftech’s risk proof strategic plan for transitioning from ICD 9 to ICD 10 helps to mitigate productivity losses by providing you ICD-10 certified coders and a solid plan to help you move forward with minimal interruptions.
Key Facts:
Our certified team of coders, proficient with CPT, ICD-9, HCPCS level II and specialty specific coding, provide efficient and effective services across:
- Anesthesia / Pain Management Coding
- Surgical Specialty Coding
- Emergency Medicine Coding
- Radiology Coding (Interventional and Non-interventional Radiology)
- Pathology Coding
- Hospital Facility Coding
- Evaluation and Management Coding
- ICD 10 Coding
Service offerings
We are ready when you need us, working across time zones to provide services such as:
- Remote or on-site coding leveraging a multi-step quality assurance process for:
- Inpatient
- Outpatient
- Emergency department
- Physician Coding / Professional services
- Drug and coding validation
- Case mix analysis
- Evaluation and Management (E&M) coding validation
- Charge description master review
- ASC coding
- Audit and adjudication
- Regulatory guidelines and compliance
- Document review and data quality
- Coding expertise covering all types of providers
- Specialty Coding
- Chart documentation and review
- Expertise for work on application and usage of National Drug Codes (NDC)
- Document management
- SMART scanning solution with intelligent Optical Character Recognition (OCR)
- Claims conversion into HCFA and UB formats
- Remote access to medical charts and records
Business impact
With accuracy rate of over 95% on both CPT and ICD components, Giftech’s unrelenting focus on accuracy and comprehensive approach to claims payment management has reduced incorrect coding by up to 25%, improving operating margins for our clients worldwide.