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Coding Quality and Audit Services

Medical coding compliance and audit services for hospitals, health systems, and physician practices that want to improve coding accuracy and mitigate risk by facilitating regulatory compliance.

 

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Optimizecoding accuracy and compliance

Get paid for all the services you provide

Optimize revenue opportunities by achieving coding accuracy at the highest level.

Identify and correct root issues

Identify under or overbilling of services by leveraging our comprehensive reviews and charge capture audits.

Help support compliance

Help mitigate risk by facilitating appropriate billing for documented procedures. 

Improve staff education and training

Streamline operations and improve overall billing integrity by training staff on best practice front- and back-end billing processes.

Uncover trends and identify opportunities

Achieve data-quality and financial goals by using our expertise to evaluate processes and staff. 

What's included

  • Access compliance and auditing expertise

    • Leverage auditors with multiple credentials and areas of expertise
    • Access coding compliance, documentation, and reimbursement audits
    • Use charge capture audits to identity  under or overbilling of services

  • Devise an improvement strategy

    • Assess existing compliance plans or develop new ones
    • Establish best-practice coding and documentation compliance standards
    • Develop processes for auditing and confidential reporting
    • Identify deficiencies in code and modifier assignments
    • Stay abreast of regulatory changes

  • Provide education and training

    • Use your audit results as the basis for customized training services
    • Train staff with our on-site services or via webinars
    • Focus on specific areas, such as Evaluation and Management, Surgical and Specialty Coding, etc.
    • Optimize front-end and back-end billing processes
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