Our Core Solutions
Medical Coding and Auditing Services
Enhance coding accuracy, compliance, and revenue with Professional Service's expert Medical Coding Services. Our experienced professionals provide precise, timely coding across inpatient, outpatient, ED, and professional services, supporting ICD-10, CPT, and HCPCS. We reduce backlogs, lower denials, and ensure total compliance, delivering accurate coding and faster turnaround to meet your healthcare needs.
Clinical Documentation Integrity (CDI)
Enhance the accuracy and completeness of your medical records with our Clinical Documentation Integrity (CDI) services at Professional Service. Our experienced CDI specialists conduct concurrent and retrospective reviews to identify documentation gaps and compliant query opportunities, ensuring accurate severity of illness (SOI) and risk of mortality (ROM). Trust us to strengthen your documentation practices and improve overall patient care.
DRG Validation
Ensure accurate, compliant, and defensible DRG assignment with Professional Service's comprehensive DRG Validation. Our experts meticulously review inpatient records to validate principal and secondary diagnoses, CC/MCCs, ICD-10-CM/PCS coding, clinical indicators, and DRG assignments. With both pre-bill and post-bill validation, we help identify coding discrepancies, ensuring optimal reimbursement and compliance for your organization.
Why Nivara
Data Accuracy
High-fidelity, connected data that supports confident decision-making across clinical, financial, and operational teams.
Operational Efficiency
Streamlined workflows, fewer manual touchpoints, and clearer visibility into your revenue cycle performance.
Life Sciences Impact
Quantifiable results achieved through precision data architecture and biospecimen analytics—driving faster trials, cleaner data, and better outcomes.
Why Healthcare Teams Choose Nivara
We combine precision auditing, real-time analytics, adaptive coding, and secure data exchange to help healthcare organizations reduce leakage, improve compliance, and unlock new revenue opportunities.
Compliance & Data Protection
Nivara Healthcare Solutions is committed to protecting the confidentiality, privacy, and security of healthcare information. We follow documented policies and procedures designed to support applicable healthcare privacy and security requirements, including HIPAA requirements where applicable. Our approach emphasizes secure handling of protected health information (PHI), controlled access, confidentiality, workforce awareness, secure workflows, and ongoing compliance and quality reviews.
