Every visit coded.Every dollar, defensible.
After the note, the codes. Layrd codes the visit as the note is written: E&M with full MDM justification, an optimized assessment list with HCC mapping, care gaps closed across every program. Every line cites the chart that supports it.
Every closed visit opens as a coded chart.
Coded, checked, defensible.
E&M, with the justification.
Every visit coded 99202 to 99205 or 99212 to 99215, with the full MDM reasoning written out: problems addressed, data reviewed, risk. Overstatement risk is flagged before it becomes an audit. The reasoning trace exports for physician review and audit defense.
The assessment list, optimized.
ICD-10 specificity upgrades and combination coding from the full record, not the problem list. V28 HCC mapping with RAF coefficients inline on every billable diagnosis, and suspect conditions surfaced through MEAT criteria from everything in the chart.
Care gaps, closed across every program.
MIPS, HEDIS, CMS Stars, Medicaid Core Sets, ACO, and USPSTF, checked on every visit. Between visits, the closure pipeline accepts evidence straight from document triage: a Cologuard result or a BP reading closes its gap the day it arrives.
Nothing leaves unvalidated.
Add-ons identified where earned: AWV, G2211, CCM, PCM, RPM, BHI, TCM, APCM, modifiers, CPT-II codes. Then pre-submission validators run: NCCI PTP and MUE, ICD-10 Excludes1, payer coverage, duplicate claims, and Mod 25 / G2211 gates.
Audit-defensible, by design.
Every decision logged. Every override reversible. Reference data is pinned per organization, so the rules in force then are still the rules now.
Audit-defensible by design · CMS-HCC · MIPS · HEDIS · ICD-10 pinning
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