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RCX is owned and operated by credentialed professionals with a combined experience of over 100 years. RCX’s experience on both sides of the clinical fence; Provider side & Payer Side, makes us uniquely qualified to be your strongest revenue cycle enhancement partner and advocate.
RCX team of physicians and CDI Specialists review and validate all diagnoses and related treatment rendered by the provider to ensure they meet established clinical criteria. Any coding related finding is referred to the Coding/DRG validation team
RCX team of Coding/DRG specialists review and validate all diagnostic codes, diagnoses sequencing, and procedures assigned in the code set submitted on the provider claim, to ensure each code is accurate and meets established definitions, and guidelines. Any clinically related finding is referred to the Clinical Validation team for review.
Customized In-Service for
RCX education team develops and presents Provider / Payer oriented Inservice education on best practice in accurate documentation, coding and code sequencing.
RCX is owned and operated by credentialed professionals with a combined experience of over 100 years. RCX’s experience on both sides of the clinical fence; Provider side & Payer Side, makes us uniquely qualified to be your strongest revenue cycle enhancement partner and advocate.
We provide Clinical Documentation & Coding and DRG validation and education services to narrow the gap between providers and payers.
The total 100+ professionals, consists of Physicians, Clinical Documentation Integrity, Coding and DRG Specialists with a combined 100+ years of Healthcare documentation, coding, and Diagnosis Related Groups (DRG) auditing expertise .
Our team’s credentials include MD, RHIA, RHIT, CCS, CDIP, CCDS, and RN, all with the common mission to ensure clients' revenue protection by validating the accuracy of coding and DRG assignments backed by solid clinical documentation.
Our experienced team partner with clients’ staff seamlessly and in a non-threatening approach, educating them along the way without adversely impacting clients’ established turnaround times.
RCX education and training services are designed to teach the art of documentation as it relates to coding specificity, completeness and clarity that accurately reflect the clinical severity of patients’ illness and care provided and reimbursement claimed. We also support providers in bridging the gap between “clinical- thinking and documentation” versus “classification-thinking and coding / DRG assignment” that complies with payers guidelines.
DRG Claim Integrity Services. Our multidisciplinary approach ensures our recommendations follow established industry / regulatory guidelines, definitions & best practice.
