Coding Advisor

An analytics and sequenced process-driven claims adjustment solution for payers and TPAs that want to identify billing outliers, change provider behavior, and reduce overpayments of low-dollar, high-volume claims.

What’s Included in Coding Advisor

  • Analytics-driven claims adjustment

    • Software identifies billing outliers
    • Reduces overpayments
    • Increases claims accuracy

Help managehealthcare costs with pre-submission claims adjustment

Coding Advisor - businessman focused on computer

Advanced software to increase claims accuracy

Coding Advisor helps drive positive change in billing practices to help increase accuracy. Address losses on high volume, low dollar claims.

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Coding Advisor helps decrease costly activities for payers and TPAs

Help increase medical cost savings for Evaluation and Management (E/M) services with provider self-auditing and coding validation. Decrease the need for lengthy, costly, and abrasive audit activities.

Coding Advisor - two providers working at computer

Easy and efficient software to boost provider confidence

Decrease provider abrasion through a collaborative solution delivering targeted messaging and educational data insights. Plus, using Coding Advisor to help reduce E/M coding errors by educating physicians and their billing staff.

Providing Measurable Value

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81.1 %

outlier providers exhibiting better accuracy 

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34.7 %

average decrease in overbillings 

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PMPY medical cost savings achievable

Let’s start a conversation

We’re here to help you find out how our services could benefit your organization. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information about our services? Start here.

Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.

Our outcomes

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Resources and Brochures
  • Brochure
    Help Increase Savings and Provider Engagement

    Tackling improper payments on low-dollar, high-volume claims is often a daunting task for payers. It requires significant resources, access to sophisticated data, and high levels of expertise. Even then, the return can be marginal and disruptive to provider relationships. Historically, the cost of pursuing this type of overpayment has been cost-prohibitive. Coding Advisor changes that.

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