Quality & Compliance Audits
Conduct documentation audits (OASIS, Clinician notes, Evaluations, Assessments etc.) focused on regulatory compliance, including HIPAA, HITECH, and payer-specific requirements, to avoid penalties and protect patient data.
QA & Coding
ZyGa Solutions supports Quality Assurance (QA) and medical coding by leveraging a blend of experienced professionals, robust processes, and advanced technology. Our services are designed to enhance accuracy, compliance, and efficiency in healthcare documentation and reimbursement processes.
Data Accuracy Checks
Validate data entry, patient information, and treatment records to ensure completeness and eliminate discrepancies.
Medical Coding for Claims Processing
Certified coders translate clinical documentation into standardized codes (such as ICD-10, CPT, and HCPCS) for billing and reimbursement.
PCR Reviews and Approvals
End to End PCR submission and approval service which includes conducting a full review of intake documentation and assessments to ensure all necessary documents are ready for PCR approvals, Co-ordinate with physicians, case managers, and other healthcare providers to address questions or discrepancies related to PCRs and Manage and expedite the approval process by ensuring that all required signatures and verifications are completed in a timely manner.