| OVERVIEW

Bolder’s Clinical Coding solutions deliver deep industry experience and highly specialized expertise to maximize coding accuracy and turnaround times for a broad base of hospital and physician groups, including four of the largest health systems in the Country.

We continuously analyze the regulatory landscape to help our clients adapt and remain compliant with industry and payer-specific changes.

| CONTRACT CODING

We provide both ongoing and on-demand contract coding with industry leading productivity and accuracy rates.

  • All coders are credentialed through AHIMA/AAPC with an average of 10 years industry experience
  • Both on and off-site resource availability depending on our clients’ needs
  • Our scalable, no minimum volume solutions allow us to help all providers, regardless of size

| VALIDATION & AUDITING

Bolder’s validation and auditing solutions provide valuable and measurable feedback on the accuracy and compliance of your internal coding program.

  • We provide coding validation on both a pre-bill and post-bill basis, with best in class turnaround times
  • Our solutions identify missed revenue opportunities and coding inaccuracies that can create compliance risks
  • Our education programs for coders and physicians address coding and documentation inefficiencies in a one-to-one, seminar or roundtable format

| CODING DENIALS & RAC APPEALS

Bolder’s coding denial solutions provide a cost-effective way for hospitals to ensure they are being paid for the services they provide.

  • Coding denials are a top issue for hospitals, costing most health care organizations 3% or more of their net revenue
  • Our team of professionals appeal claims previously denied based upon inaccurate coding or medical necessity and follows the appeal through all levels until full resolution
  • Our historical success rates on claims deemed viable for appeal are the best in the industry

| CHARGEMASTER SERVICES

Bolder’s Charge Description Master (CDM) solutions ensure that your reimbursement accurately reflects all of the services you provide.

  • All of our Chargemaster specialists have a clinical background and are credentialed coders
  • We offer both initial and ongoing review solutions and consistently deliver a 300% return on your investment
  • Our comprehensive reviews include charge comparisons and alternatives to across the board price increases, identifying revenue at risk and potential compliance-related issues

| KEY DIFFERENTIATORS

Experience the Bolder difference.

We use a compliance-directed approach combined with deep industry experience and highly specialized expertise to improve our clients’ coding compliance, revenue and cash flow.

Nationally Recognized Logos

Serves 4 of 7 largest U.S. health systems.

Scalable Solution

No minimum policy allows for contracts with providers of different scale.

Credentialed Coders

All coders are certified by AHIMA / AAPC.

Deep Bench of Experienced Coders

Average of 10+ years of industry experience.

300%+ Return

To Chargemaster Services customers.

98% Accuracy

Compared to an 85% – 90% industry average.