Improving Mid-Revenue Cycle with Precision Auditing Solutions
Driving evaluation, validation, and education to optimize coding compliance
Enhancing the Efficacy of Mid-Revenue Cycle Management
Coding accuracy is the hallmark of a healthy and efficient mid-revenue cycle. At e4health, we implement Mid-Revenue Cycle Management (RCM) solutions with unparalleled quality and experience, delivering valuable financial results.
Our clients benefit from a top-performing mid-revenue cycle, that focuses on audit quality, process improvement, and education. With the increased scrutiny on accurate reporting and optimal reimbursement, coding audits enhance the efficacy of mid-revenue cycle management while ensuring the highest levels of compliance.
Auditing Insight and Expertise
e4health leverages a comprehensive strategy for medical coding audits. Our proven methodologies and results-driven process support a knowledge-based approach and deliver detailed analytics. We pinpoint challenges that undermine healthcare organizations’ medical coding and documentation processes.
As leaders in education, we recognize a platform for exchanging ideas and transferring knowledge, along with a results-driven improvement plan, is pivotal for achieving positive audit outcomes. Our IQ auditing team delivers results and recommendations that are measurable, sustainable, and capable of advancing process improvement goals.
Coding Solutions
Improve quality and productivity goals with our AHIMA and AAPC certified medical coding team.
Auditing Solutions
Conduct audits and deliver targeted education with our domestic full-time experts.
CDI Solutions
Capture documentation specificity and maximize efficiency with a consultative approach.
Education and Training
Mid-Revenue cycle, medical coding, and CDI education and training that maximizes professional performance and optimize outcomes.
Auditing Solutions
e4health offers full-service auditing support solutions. Our team seamlessly tailors services to meet specific needs, resulting in enhanced operations and an effective mid-revenue cycle. Auditing solutions include:
Clinical coding chart reviews: Inpatient, outpatient surgery, observation, interventional radiology, ancillary, clinics
Emergency department: Academic, trauma level I-V, critical access
Skilled nursing facility, inpatient rehab facility, behavioral health, etc.
Professional fee: All specialties
Coding compliance
MS/APR – DRG validation
Evaluation and management (E&M) validation
Clinical documentation improvement
Data abstracting reviews
Risk adjustment data validation
(RADV)/hierarchical condition coding (HCC)
Charge validation
Due diligence reviews
The e4health Difference for Auditing
Designed to make an impact, our flexible audits meet our client’s unique requirements. Built on an industry-leading approach — combing proven methodologies with best practices, experience, and expertise — we provide quality-driven recommendations optimizing results across the healthcare continuum.
Our audit clients include some of the nation’s largest health systems, academic medical centers, and big four accounting firms, illustrating e4health’s reputation as a leading auditing program provider.
Meet Our Coding + CDI Leader
Kristy Evans, RHIT, CCS, CPC
Senior Vice President of Coding and CDI
Kristy is a recognized industry expert advisor in the areas of auditing, coding, education, and CDI. She has held strategic leadership positions in vendor, facility, and physician pro-fee environments. As a successful instructor and team builder, Kristy has educated new and seasoned coders, CDI professionals, payers, physicians, and other specialized clinicians. Kristy’s work builds trusted and enduring partnerships with clients.
Kristy has led top-performing revenue cycle transformation for major health networks and worked with domestic and global delivery teams to ensure performance outcomes, providing technical and subject matter expertise. She has also served in a variety of roles, including VP of Operations, Client Services Director, Manager of ICD-10 Coding and Clinical Education, and Corporate Coding Manager.
Coding and CDI Capabilities
Coding Solutions
Improve quality and productivity goals with our AHIMA and AAPC certified medical coding team.
Auditing Solutions
Conduct audits and deliver targeted education with our domestic full-time experts.
Education and Training
Mid-Revenue cycle, medical coding, and CDI education and training that maximizes professional performance and optimize outcomes.
CDI Solutions
Capture documentation specificity and maximize efficiency with a consultative approach.
Risk Adjustment and HCC Solutions
Delivering value-based reimbursement support with audit accuracy, efficiency, and clear guidance.
Coding Integrity Software Solutions
Access detailed analysis and customizable reporting for any audit type and quickly analyze productivity and reimbursement.