H
HINFOMA GLOBAL HEALTHCARE INTELLIGENCE SOLUTIONS
AHIMA | AAPC ALIGNED
PRIMARY SERVICE

Medical Coding Services

18 years of expertise. 50+ AAPC and AHIMA certified coders. Physician and RN-qualified healthcare professionals delivering complete inpatient, outpatient, and specialty coding solutions.

Diagnosis Coding

ICD-10-CM ICD-10-PCS ICD-11 ICD-10-AM READ Codes SNOMED CT

Procedure Coding

CPT 4th Edition HCPCS Level II NDC LOINC ATC HL7 EMR

Reimbursement

MS-DRG APR-DRG APC RBRVS HCC Risk Adjustment POA Indicators

Compliance

OIG Audit NCCI Edits HIPAA 5010 RAC Defense MDM Analysis E/M Coding
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Inpatient Facility Coding

Complete hospital inpatient coding including ICD-10-CM/PCS, MS-DRG assignment, MCC/CC capture, and POA reporting.

  • Principal Diagnosis Selection
  • ICD-10-PCS Procedure Coding
  • MS-DRG / APR-DRG Optimization
  • CC / MCC Capture
  • HAC / POA Reporting
👨‍⚕️

Outpatient & Pro Fee Coding

Accurate outpatient, ambulatory, and physician fee coding across all specialties with E/M and APC expertise.

  • E/M Documentation & Coding
  • Ambulatory Surgery Coding
  • Emergency Department Coding
  • APC Assignment
  • Modifier Application
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Medical Coding Audits

Comprehensive prospective and retrospective coding audits with OIG-compliant reporting and corrective action planning.

  • Pre-Bill / Post-Bill Audits
  • OIG Work Plan Targeted Audits
  • RAC / MAC Audit Defense
  • Physician Query Review
  • Corrective Action Planning
📝

Clinical Documentation Improvement

CDI programs that bridge clinical documentation gaps to ensure complete, accurate, and compliant record capture.

  • Concurrent CDI Review
  • Physician Query Compliance
  • CDI Education & Training
  • DRG Optimization Reviews
  • Risk Adjustment CDI (HCC)
PRIMARY SERVICE

Health Economics & Outcomes Research (HEOR)

World-class HEOR scientists delivering evidence-based economic models, real-world research, and market access strategies for pharma, biotech, and payer clients.

💰

Health Economic Modeling

Markov models, decision tree analyses, and budget impact models for formulary submissions and coverage decisions.

  • Cost-Effectiveness Analysis (CEA)
  • Budget Impact Models (BIM)
  • QALY / LYG Estimation
  • Sensitivity & Scenario Analysis
🗂️

Real-World Evidence (RWE)

Retrospective and prospective studies leveraging claims, EHR, registry, and administrative databases.

  • Retrospective Cohort Studies
  • Propensity Score Matching
  • Claims Database Analytics
  • Treatment Pattern Analysis
🎯

Market Access & HTA

Strategic support for payer engagement, HTA submissions, and value-based reimbursement negotiations.

  • Value Dossiers (AMCP Format)
  • HTA Submissions (NICE, IQWiG)
  • Payer Value Messaging
  • Formulary Strategy
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Systematic Evidence Review

Rigorous literature reviews, meta-analyses, and indirect treatment comparisons supporting clinical and economic submissions.

  • Systematic Literature Reviews
  • Meta-Analysis & NMA/ITC
  • Evidence Gap Analyses
  • GRADE Evidence Grading
ADDITIONAL SERVICES

Complete Healthcare Data Ecosystem

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Medical Billing & Revenue Cycle

Complete RCM services from charge capture to collections, including global code mapping across US and Ex-US healthcare systems.

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Code Mapping & Terminology

Forward and backward code mapping, local-to-international conversions across ICD, SNOMED, LOINC, NDC, and legacy coding systems.

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AI-Assisted Coding & CAC

Computer-Assisted Coding (CAC) integration, NLP-based coding automation, and AI coding auditing solutions.