Services
Medical Auditing
We can perform Retroactive or Prebill coder audits - volume and content to be reviewed are determined by the client
We can audit the following services;
-
ED physician coding
-
ED technical coding
-
Infusion and Injection coding
-
Wound care coding
-
E & M coding
-
ICD-10-CM diagnosis coding
We can create AAPC CEU approved educational materials based on our audit findings - per client request
Physician EMR Documentation Review
We can review your Physician EMR documentation to verify the following - volume and content to be reviewed are determined by the client;
-
Compliance with documentation guidelines - guidelines to be specified by client
-
Age/gender appropriateness
-
Identify potential for chart cloning, copying or pasting issues
-
Diagnosis selection problem areas
We can create educational materials based on our audit findings - per client request
All coders and auditors have an AHIMA and/or AAPC certification and have
3+ years experience
Prices will be furnished upon request
Coder Vendor Vetting
Do you use an offshore and/or domestic coding vendor to perform the coding activities for your hospital and/or physician group? We have a unique process to ensure transparency beyond a background check to ensure;
-
Who is performing your coding - are they currently AHIMA and/or AAPC certified?
-
How your vendor is monitoring and ensuring coder accuracy
-
How the coders are being continually educated on coding updates and HIPAA compliance
-
How the coding vendors coding tools, policies and procedures are current and in compliance with industry recognized coding guidelines
Does your coding vendor use your internal coding policies and procedures? If so, we have a process to ensure that the coding staff assigned to your hospital/physician group understand how to correctly apply your internal coding policies and procedures.
We can also monitor the quality of the coding performed on a daily, monthly, quarterly or annual basis to ensure that the accuracy rate of the coding staff assigned to your hospital/physician group meets the industry recognized standards.