Expert Solutions, Proven Results
Technology-Enabled Healthcare Consulting
At Refinica, we understand the complex challenges of healthcare delivery. Our experienced consultants partner with healthcare leaders to tackle the toughest issues, from optimizing operations to conducting comprehensive medical coding audits, leveraging health data analytics, and delivering robust compliance solutions. From the bedside to the boardroom, Refinica has you covered.
Exclusive Access to Proven Solutions
Ask about our special programs that provide access to Health Administration Advisor's legacy platforms:
Refinica HealthStar™
The trusted coding and auditing platform that coders love. HealthStar™ is a secure platform for medical record review for risk adjustment auditing, quality measures review, and any medical coding audit work. It also connects seamlessly to ClaimStar™ for data analytics, suspecting and clinical profiling. Contact us for a demonstration.
Refinica ClaimStar™
The legacy claims monitoring and compliance solution available 24/7/365. Much of population health effort is retrospective, but with ClaimStar™ you can be come more proactive through concurrent review of your data. ClaimStar™ gives peace of mind through clinical profiling, suspecting, and identifying red flags in claims data in real time throughout the year. Contact us for a demonstration.
Our Expertise
We specialize in critical areas essential to modern healthcare operations, including:
- Policy and Procedure Creation/Review
- Process Improvement
- HIPAA/HITECH Compliance
- Clinical Bioethics
- Clinical Documentation Improvement (CDI)
- Population Health Best Practices
- Risk Adjustment Coding and Audit
- Product Development
- Defensive Legal Audits
- Physician Practice Management
Our Approach
At Refinica, we believe expertise matters. That’s why we carefully select professionals with real-world healthcare experience. Our comprehensive capabilities include:
Building web-based and application solutions for healthcare needs.
Turning data into actionable insights for better outcomes.
Supporting DOJ/OIG risk adjustment audits with confidence.
Structuring, developing, and auditing top-tier coding teams.
Guiding organizations through transformation with proven methodologies.
Empowering healthcare leaders to drive sustainable growth.
Tailored programs for individuals, organizations, and providers.
Why choose Refinica?
With a proven track record of success, Refinica delivers tech-enabled services that transform healthcare administration. We’re passionate about helping our clients because we know this helps patients.
Our approach is simple: combine deep industry knowledge with innovative solutions to help healthcare organizations achieve operational excellence, maintain compliance, and improve patient outcomes.
