Our Services

 Accurate coding is the foundation of revenue integrity. Samika Group provides comprehensive audits and coding services across inpatient, outpatient, emergency, and specialty care settings.

Our services include:

• ICD-10, CPT, and HCPCS coding validation

• Risk adjustment and HCC coding reviews

• Pre-bill and post-bill audits

• Coding quality assurance and compliance assessments

• Specialty-specific documentation feedback

We help you uncover revenue leakage, reduce compliance risks, and ensure documentation supports coding decisions.

Denied claims are more than a nuisance — they impact revenue, staff workload, and patient satisfaction. Samika Group offers denial analytics and recovery solutions that get to the root of the problem.

Our approach includes:

• Root cause denial analysis

• Trending and KPI dashboards

• Targeted training to reduce future denials

• Appeals and resubmission workflows

• Clean claim process redesign

We help you minimize rework and maximize reimbursement.

Education is central to our mission. We offer practical, engaging workshops and one-on-one provider education designed to improve documentation habits and coding awareness. Prepare your coders, billers, and administrative staff as well as your providers and clinicians to meet the challenges they face daily in the ever-changing world of healthcare.

Training options include:

• E/M coding updates based on AMA guidelines

• Specialty-specific documentation workshops

• Coding accuracy bootcamps

• Provider 1:1 feedback sessions

• Custom tip sheets and job aids

Our sessions are interactive, evidence-based, and results-driven.

Regulatory compliance is critical in today's healthcare landscape. We help you stay audit-ready and aligned with federal guidelines, payer policies, and internal standards.

Our focus areas:

• Medicare & Medicaid billing compliance

• NCCI, MUE, and modifier usage review

• Internal controls for coding accuracy

• OIG Work Plan alignment

• Clinical documentation integrity (CDI) audits

We empower your team to meet ever-evolving compliance standards confidently.

Samika Group provides support for federal and state agencies with medical coding, auditing, and consulting services.

Capabilities:

• Medical coding audits for VA, IHS, and HHS

• Staffing support for remote or onsite coders

• Policy reviews and process improvement consulting

• Capability statements and proposal teaming

• Compliance with FAR and agency-specific security requirements

We are actively pursuing partnerships with government buyers and prime contractors.

Capability Statement