Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.
Health Information Management
Our team of coding experts, with a deep understanding of the healthcare industry and its specialties, paired with smart technology creates a tangible, positive impact on cash flow.
Extended Business Office
AGS Health provides a comprehensive suite of RCM services that are customized for each client. Our experienced team of experts serves as an extension of your business office.
Analytics and Reporting
Obtain answers to critical questions related to performance benchmarking, root cause analysis, predictive analytics, and operational improvements.
Control operating costs, improve quality, and experience an unprecedented return on investment.
Our high-touch services experts partner with you
to solve problems proactively.
With more than 3,000 college-educated coders, 600 certified coders, and an award-winning internal coder training academy, you can be confident in our team’s ability to support your operations today, while keeping up with the ever-changing coding regulations of the future.
The AGS Health global coding team receives detailed, specialty-specific training that ensures excellent quality levels and clean claim submissions. Our proven implementation process is seamless and includes effective controls to ensure minimal disruption – all with 3-4x ROI.
Beyond the ROI, our continuous focus on coding quality and compliance eliminates the headaches that many of our customers experience when onboarding new staff.
AGS offers professional fee services for the following settings:
Our dedicated team of coders, receive extensive training and possess a minimum of a bachelor’s degree in a healthcare-related field. Our rigorous focus on coding quality and compliance is regulated by a dedicated compliance task force and robust quality management controls.
We also offer an extensive suite of reports and high-impact analyses for inpatient coding, including thorough investigations of CDI mismatches, physician queries, MS-DRG vs. APR-DRG, GM-LOS vs. actual LOS, and more.
AGS offers hospital facility coding services for the following needs:
Leveraging Hierarchical Condition Category (HCC) coding can help healthcare organizations ensure appropriate payment for services among populations experiencing serious or chronic illness. However, this also adds a new layer of complexity to documentation and coding processes.
Our highly trained staff can assist with the coding of complex cases for risk adjustment and provide a more complete picture of the patient. We will also work with you to ensure documentation complies with HCC reporting requirements for maximum reimbursement.
To support complex coding, AGS Health will:
Proper coding requires meaningful documentation that is complete, accurate, and consistent. A properly configured clinical documentation integrity (CDI) program can help achieve this goal and drive greater revenue outcomes for your organization.
You can count on the AGS Health team to provide retrospective and concurrent reviews of clinical documentation. We will help you identify missing information, place physician queries, and recommend improvement opportunities to ensure your documentation is ready for coding.
The AGS Health CDI program provides:
Code volumes and complexity are continuously growing and will continue to do so with the adoption of ICD-11. As result, coding errors have become one of the top sources of denials.
With AGS Health, you can rest assured that our team will thoroughly review codes, flag any issues, and perform prompt resolution to ensure timely and accurate claim submissions and appeals.
Our team of service experts can help you:
Public and private payer audits are on the rise, resulting in lost revenue, heavy fines, and damaged reputations. To protect your organization and its hard-earned revenue, it’s critical to perform code audits with a partner you can trust.
By leveraging our auditing team for complete coding compliance audits, you can have confidence in the accuracy, quality, and reimbursement of your claims.
AGS Health offers auditing services for:
Unparalleled knowledge and experience
Our highly trained experts are trusted by leading healthcare organizations across the country based on their demonstrated ability to enhance accuracy, reduce reimbursement times, and prevent revenue leakage.
Expert services supported by advanced technologies
Increase the productivity of your facility and professional fee coding while cutting denials, missed charges, and low risk scores by making critical decisions faster.
Automate the review of clinical documentation and queries without using a single spreadsheet.
Streamline your audit process before or after submitting the claim to ensure the right diagnosis and charge codes are being used.
Revenue Cycle Automation
Unlock the power of your revenue cycle by discovering new insights, optimizing billing processes, preventing denials, and automating tedious, time-consuming tasks.
Analytics & Reporting
See your data like never before without the constraints of your EHR reporting capabilities.
Additional services to streamline your revenue cycle
Patient Access Services
Our experienced team can help you identify missing information and confirm insurance details prior to the visit – ensuring nothing is missed that could hold up your claims.