A Leader in Documentation, Coding, Utilization Review, and Medicine

C.F.R. is an established leader in optimal documentation, coding, and billing for hospitals, outpatient facilities, and provider groups. Integrating clinical medicine with our expertise in documentation, coding, and medical necessity, we optimize revenue, quality metrics, and risk adjustment.

  • We know coding.
  • We know documentation.
  • We know medicine.

About Our Services

A Reputation for Excellence

With over 25 years of experience, C.F.R. services consistently optimize revenue capture, improve publicly reported quality metrics, reduce DRG revision denials, and improve CMS compliance with a client-focused individualized approach.

Coding & Billing

C.F.R. provides coding for inpatient and outpatient sites including professional services, facility, and procedural coding with cloud-based timely billing services.

Clinical Documentation Integrity

Maximize revenue, improve clinical validity, reduce DRG revision denials, and reduce erroneous hospital acquired conditions with our experience and proven CDI services.


C.F.R. provides retrospective analysis of inpatient and outpatient coding compliance, provider documentation, and utilization review level of service determinations.

Physician Advisor Services

Our Board Certified Physician Advisors merge clinical and regulatory expertise to provide Medical Necessity determinations for concurrent reviews, peer to peer appeals, post-discharge audits, and denial management.

Denial & Appeal Services

Whether by the CMS Recovery Audit process or by private insurance, our coding and DRG experts are skilled with years of experience in assessing and appealing DRG revisions and medical necessity denials.

DRG Validation

In conjunction with physician expert coders, our highly qualified, certified coding professionals lead their field in coding and DRG methodology expertise. C.F.R. has integrated knowledge of clinical medicine, coding, and billing yielding optimal inpatient coding practices.

Physician Supported Solutions

Founded by a Physician with coding expertise, C.F.R. maintains the highest standards of clinical knowledge merged with expertise in coding and compliance to bring the needed results for our clients.

Inpatient CDI Return on Investment
Appeals written per month
Charts Reviewed Weekly
RAC Medical Necessity Denials Overturned

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