SLN SOFT SOLUTIONS

Healthcare Payer

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Medical Coding Services

Healthcare landscape and regulatory updates that occur almost daily, it is imperative to stay on top of all industry changes in order to maximize revenue and maintain compliance.

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Claims Management

Maximizing accuracy at every point in the claims payment process is essential if payers are to compete. Our deep understanding and evaluation methodology of medical claims and contracts enable payers to save money through the identification of overpaid claims.

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Member Management

SLN SOFT Solutions manages the eligibility and enrollment process for our clients, including the verification and determination of each member's coverage to help automate the process and free up necessary resources.

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Medical Coding Service

Healthcare landscape and regulatory updates that occur almost daily, it is imperative to stay on top of all industry changes in order to maximize revenue and maintain compliance. Our AAPC and AHIMA certified coders are up-to-date with the latest industry changes, whether it is ICD10-CM, ICD-10-PCS, CPT, HCPCS or others, our deep and broad experience provides our clients with a team of medical coding experts who ensure that our clients are properly maximizing their revenue in a compliant and accurate fashion.

Utilizing our thorough processes built upon the highest standards, you can expect comprehensive, efficient, and end-to-end risk adjustment coding services that will positively impact your healthcare organization.

  • Hierarchical Condition Category (HCC) coding review
  • Risk Adjustment Data Validation (RADV) audit support
  • Risk Adjustment Factor (RAF) optimization
  • Diagnosis Related Groupings (DRG) validation
  • Payment integrity audits
  • Correct coding audits based on NCCI principles(VA/VE)
  • E/M level utilization and benchmarking
  • Medical necessity audits
  • Clinical reviews - Workers comp, auto no fault
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