Our services

Coding, analytics & research — built for reimbursement and compliance

Three connected tiers. Whether you need a single claim coded correctly or a national disease model, every engagement ends in data you can trust.

Tier 1 · Flagship

Clinical Coding & Data Quality

We code the full claim and audit the record behind it — so claims get paid the first time and your data holds up to scrutiny.

Diagnosis coding — ICD-10 & ICD-11 ICD-11 1A00.0

Procedure coding — CPT-based tariff CPT 99213

Medicine coding — NAPPI NAPPI 706874

Lab coding — pathology tariff & LOINC LOINC 2160-0

Data-quality & documentation audits against scheme and DPA requirements

Tier 2

Health Data Analytics & AI

Clean, coded data is only useful when leadership can see it. We build the dashboards and AI-assisted analytics that turn records into decisions.

Operational dashboards for revenue, denials and clinical quality

Monitoring & evaluation for programmes, NGOs and donors

AI-assisted analytics to surface patterns and anomalies in your data

Interoperability advisory — LOINC and standards so systems talk to each other

Tier 3

Health Research & Intelligence

For academia, donors and Ministries of Health that need evidence — we design the study, run the statistics and model the disease.

Research design & protocol support

Biostatistics & analysis for publication-grade evidence

Epidemiological & disease modelling consultancy

Health monitoring & evaluation frameworks

Capability building

Clinical coding & documentation training

We don’t just code for you — we build the in-house skill that keeps quality high between engagements.

Medical terminology

Foundations of anatomy, terminology and documentation for coders and clinicians.

Clinical coding

Hands-on ICD-10/11, CPT, NAPPI and LOINC coding to scheme standards.

Documentation improvement

Closing the gaps between what clinicians write and what coders can bill.

Knowledge systems

Reference systems and SOPs so coding quality is repeatable, not personal.

Why Health Metrix

Specialist coding vs. the usual approach

What changes when health data is handled by a dedicated coding & data-quality team.

Capability

Health Metrix

In-house generalist

Generic billing software

Full-claim coding (ICD · CPT · NAPPI · LOINC)

✓ All four layers

Partial

Diagnosis only

Data-quality & documentation audit

✓ Built in

Ad-hoc

Data Protection Act compliance review

✓ Every engagement

Rarely

Analytics & M&E from coded data

✓ Dashboards & AI

Spreadsheets

Basic exports

Team training & knowledge systems

✓ Local capacity built

Engagement models

Find the right starting point

Transparent engagement models in Botswana Pula. Every scope is confirmed in your free call.

Data Audit

From BWP 9,500

one-off baseline audit

Sampled coding-accuracy review

Denial & leakage analysis

DPA exposure snapshot

Findings & recommendations report

MOST POPULAR

Coding Partner

Monthly retainer

scaled to claim volume

Full-claim coding across ICD · CPT · NAPPI · LOINC

Ongoing data-quality audits

Reimbursement & denial dashboard

Quarterly coder training

Intelligence

Custom scope

analytics & research projects

Dashboards, M&E & AI analytics

Research design & biostatistics

Epidemiological modelling

For donors, academia & Ministries

Indicative figures for scoping only. Final pricing is confirmed against your claim volume and engagement scope.

Questions

Frequently asked

The full claim: diagnosis in ICD-10 and ICD-11, procedures on a CPT-based tariff, medicines in NAPPI, and laboratory results against the pathology tariff and LOINC. We code to the standard your scheme accepts.

Yes. Every audit and engagement reviews how health data is handled, consented and retained against the Botswana Data Protection Act, and flags exposure before it becomes a penalty.

Absolutely. We work with schemes on claim-coding verification, data-quality assurance and analytics — alongside private hospitals, labs, NGOs, donors, academia and Ministries of Health.

Both. Capability building is core to how we work — we deliver clinical coding, medical terminology and documentation training, plus knowledge systems, so your quality holds long after the engagement ends.

A baseline data audit can usually begin within two weeks of your free call. We scope volume and access first, then agree a start date and a clear set of deliverables.

Not sure which tier you need?

Tell us about your claims, your data and your compliance worries. We will point you to the right starting place — free.

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