Improved Documentation Accuracy = Higher Reimbursements
Our certified coders ensure accurate capture of diagnoses, procedures, and risk factors. This reduces under-coding and helps providers receive full, justified payments.
Reduced Denials & Faster A/R Turnaround
With our denial prevention workflows and clean claim submission, we lower denial rates, leading to quicker cash flow and less revenue lost to rework or rejections.
We assign coders with targeted experience in your clinical specialties, improving code specificity and compliance with specialty billing guidelines—boosting approval rates and incentive eligibility.
We identify overlooked HCCs and chronic conditions, especially in value-based care models, which enhances risk scores and increases incentive payouts for provider organizations.
With continuous audits and QA processes, we maintain >95% coding accuracy—ensuring sustained financial integrity and audit-readiness.
We guarantee a measurable improvement in coding accuracy, reduction in denials, and documentation completeness—which are direct revenue-impacting levers. Many of our clients see 5%–15% net revenue increase within 3–6 months through:
Revenue Driver | How We Deliver Impact |
✅ Accurate Clinical Documentation | Specialized coders capture complete diagnosis and procedure details |
📉 Reduced Denials & Resubmissions | Clean claim submissions and proactive denial mitigation |
📈 Improved Risk Adjustment (RAF/HCCs) | Ensures all chronic and coexisting conditions are properly documented |
⏱️ Faster A/R Turnaround | Streamlined workflows lead to quicker claim payment cycles |
🔍 Real-Time Quality Monitoring | Continuous audits with >95% accuracy threshold |
“We don’t just code—we optimize your revenue lifecycle with precision and compliance.”
This model is useful for proposals or tailored business cases.
Metric | Before | After (Projected) | Estimated Gain |
Coding Accuracy | 88% | ≥95% | Fewer denials, better payments |
Denial Rate | 12% | ≤6% | Faster reimbursement cycle |
Monthly Denied Claims | 1,200 | 600 | 600 claims recovered monthly |
Recovered Revenue per Month | — | $18,000 | $2.1 Millions/year (approx.) |
Revenue Improvement % | — | 6%–12% increase | Depends on specialty mix |
Partner with Spy Health for expert medical coding and revenue cycle management solutions. Our team is here to support your growth with precision and reliability.
We offer end-to-end medical coding, billing, and revenue cycle management (RCM) solutions.
We cover all major specialties including Payor-side, provide side and hospital coding with covering both inpatient and outpatient charts of all specialities.
Yes, all our coders are AAPC or AHIMA certified with extensive industry experience.
Through multi-level quality audits, CDI integration, and continuous coder training.
Absolutely. We adhere strictly to HIPAA and all applicable data protection regulations.
Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Spy Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.
+1 (732) 762 6849
sales@spyhealthrcm.com
Spy Health’s team of over 800 AAPC & AHIMA-certified medical coders precisely assign accurate codes to ensure regulatory compliance and facilitate timely, appropriate reimbursement.
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