Maximize Revenue. Minimize Risk.
Medical Code
Auditing Services
Ensure coding accuracy and regulatory compliance while maximizing revenue performance.
Comprehensive Medical Coding Audit Solutions
SERVICES PROVIDED
A2O Health delivers end-to-end medical coding compliance audits, conducted by our expert auditing team.
Our services include detailed revenue impact analysis and lost revenue recovery, helping your organization maintain compliance and optimize reimbursement.
Our services include detailed revenue impact analysis and lost revenue recovery, helping your organization maintain compliance and optimize reimbursement.
We provide auditing services across a wide range of care settings, including:
Inpatient
Outpatient
Professional (Pro Fee)
Value-Based Care Audits – including Mortality Reviews and MIPS (Merit-based Incentive Payment System)
Inpatient
Outpatient
Professional (Pro Fee)
Value-Based Care Audits – including Mortality Reviews and MIPS (Merit-based Incentive Payment System)
Higher Operational Efficiency
Validate the accuracy of coding for patient encounters and identify errors or discrepancies in diagnosis codes, procedure codes, and modifiers—ensuring documentation consistently and accurately reflects the services provided.
Enhance Data Quality
Significantly enhance data quality to ensure compliance and regulatory integrity, establish a rigorous feedback loop, and facilitate effective follow-up with physicians, coders, and payers.
Optimize Accuracy of Reimbursements
Thorough documentation of complications and comorbidities (CCs) and their major variants (MCCs) helps prevent underpayments, denials, and appeals—boosting billing efficiency and revenue.
Simplify your revenue cycle through AI with a human touch.
Technologies Powering Next-Generation
AI Platform
Unlock the power of your revenue cycle with a streamlined solution that automates, optimizes, and forecasts your RCM workflows
Solutions for Payers
Optimizing Member Engagement for Compliant Outcomes and Strong Financial Performance
Provider Engagement
Strengthen provider network engagement by simplifying access to the information they need to deliver high-quality care and submit accurate claims.
Member Engagement
Member solutions are designed to drive better outcomes by connecting individuals with the information, tools, and support they need.
Payment Accuracy
By identifying potential errors before payment, you can reduce overpayments, minimize provider abrasion, and improve overall operational efficiency.
Digital Correspondence
The payer-provider relationship requires the exchange of a wide variety of communications from compliance notifications to care management updates.
Administrative Support
Our team provides claims processing support and coordinates administrative tasks like credentialing while identifying opportunities to increase utilization within your network.
Provider Data & Network Management
Critical to delivering high-quality care and ensuring operational efficiency. Our solutions simplify the process by streamlining the collection, validation, and maintenance of provider data.
Coding & Risk Adjustment
Risk Adjustment Documentation and coding review services enhance the accuracy of risk adjustment factor (RAF) scores by identifying, validating, and appropriately capturing chronic conditions.
We support compliance with CMS, HHS, chart reviews, coder education, and ongoing audit-readiness—delivered across prospective, concurrent. Navigating the complex world of risk adjustment with precision and confidence.
We support compliance with CMS, HHS, chart reviews, coder education, and ongoing audit-readiness—delivered across prospective, concurrent. Navigating the complex world of risk adjustment with precision and confidence.
HEDIS Chart Abstraction
Our services ensure precise, efficient extraction of medical record data to support accurate measure reporting. Leveraging experienced abstractors, rigorous quality assurance protocols, and seamless integration with payer systems.
we help health plans improve STAR ratings, meet NCQA compliance, and close care gaps—driving better health outcomes and financial performance. standards with precision, speed, and accuracy.
we help health plans improve STAR ratings, meet NCQA compliance, and close care gaps—driving better health outcomes and financial performance. standards with precision, speed, and accuracy.
Utilization Management
Our Utilization Management services ensure that members receive the right care at the right time by evaluating medical necessity, appropriateness, and efficiency of healthcare services.
Through evidence-based guidelines, real-time decision support, and collaborative provider engagement, we help health plans reduce unnecessary costs, improve care quality, and support compliance with regulatory standards.
Through evidence-based guidelines, real-time decision support, and collaborative provider engagement, we help health plans reduce unnecessary costs, improve care quality, and support compliance with regulatory standards.
Claims Administration
Efficient, Accurate, and Compliant Claims Processing.Our end-to-end claims administration solutions streamline the processing, adjudication, and payment of healthcare claims.
Leveraging automation, real-time data validation, and regulatory compliance tools, we help payers reduce errors, prevent fraud and abuse, and ensure timely reimbursement—supporting operational efficiency and member/provider satisfaction.
Leveraging automation, real-time data validation, and regulatory compliance tools, we help payers reduce errors, prevent fraud and abuse, and ensure timely reimbursement—supporting operational efficiency and member/provider satisfaction.
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Headquarters
A2O Healthcare
USA Office
10301, Northwest - FWY, STE, 314, Houston, Texas- 77092, USA
Our Locations
Where to find Us?
Delhi Office: 2New Delhi E-92, 1st Floor, South Extension Part-1, New Delhi – 110049, India
Bangalore Office:No 6 4 th Floor Wisdom Heights Kalyan Nagar Bangalore -560043
Singapore Office:1 N Bridge Rd, #46 High Street Centre, Singapore 179094