Our Services

At Cognithium Health, we deliver a fully integrated Revenue Cycle Management (RCM) framework that unites clinical precision, process excellence, and financial accountability. Our methodology is built around the three core stages of the revenue cycle — Front-End, Mid-Cycle, and Back-End — each designed to strengthen revenue integrity and accelerate cash flow. Unlike conventional billing vendors, we don’t treat RCM as a series of disconnected transactions. We manage it as a connected value chain where every stage informs the next — ensuring accuracy from patient access to payment posting.

HCC Coding is a risk-adjustment coding system used in healthcare to categorize patients based on their chronic conditions and predict future healthcare costs. It assigns a numerical risk score to patients based on diagnoses, which is used by insurance companies, especially Medicare Advantage, to adjust payments to healthcare providers.

• Developed by Centers for Medicare & Medicaid Services (CMS).
• Focuses on chronic and serious conditions like diabetes, heart failure, COPD, etc.
• Uses ICD-10 diagnosis codes to map conditions to specific HCC categories.
• Conditions are weighted differently based on severity and impact on costs.
• Helps ensure appropriate reimbursement for providers treating sicker patients.

Inbound Services: We handle customer support, inquiries, and assistance, ensuring seamless communication and satisfaction.

Outbound Services: We manage product promotions, follow-ups, and fund collections to drive business growth and engagement.

We expertly manage both inbound and outbound services, handling customer support, queries, and assistance while also managing product promotions, follow-ups, and fund collections. Our team ensures every interaction strengthens customer relationships, drives engagement, and supports business growth, allowing companies to focus on their core objectives.

HEDIS Abstraction refers to the process of collecting and reviewing patient health information from medical records to calculate HEDIS (Healthcare Effectiveness Data and Information Set) measures.

It helps healthcare organizations and insurers measure performance on preventive care, chronic disease management, and patient outcomes.

• Performed by trained nurses or medical coders.
• Focuses on specific HEDIS measures such as immunizations, diabetes care, cancer screenings, and blood pressure control.
• Ensures accurate reporting to health plans and regulatory bodies.
• Supports quality improvement initiatives in healthcare.

We provide multi-lingual customer care to connect with customers in their preferred language, ensuring clear communication, personalized support, and enhanced satisfaction. Our trained professionals handle queries, assistance, and support across multiple languages, helping businesses build stronger relationships and expand their global reach.

Data Scrubbing is the process of cleaning, verifying, and correcting data to ensure accuracy, consistency, and reliability. It involves identifying and removing duplicate, incomplete, or incorrect information, helping businesses maintain high-quality databases, make informed decisions, and improve operational efficiency.