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.