ICD-9-CM and/or
ICD-10-CM/PCS Coding
Accuracy and MS-DRG Focused Audit
-
Quality Review
of inpatient
medical records
following
government
and coding
guidelines.
-
OIG focused
MS-DRGs reviewed.
-
Evaluation
in coding
accuracy in
conjunction
with medical
record documentation.
-
Review for
physician documentation deficiencies, correct code and MS-DRG assignment.
-
Identify cases
where increase
or decrease
adjustments
are necessary.
Educate Coders & Physicians on Audit Findings.
Ensure Coders Understanding of Correct Coding Initiative Edits.
ICD-10-CM/PCS Audits
Review for appropriate:
-
Assignment of ICD-10-CM diagnosis codes.
-
Assignment of ICD-10-PCS procedure codes.
-
Educational feedback on
coding findings.
-
Documentation in the medical record to support code assignment.
ICD-10-CM/PCS
Education
Provide ICD-10-CM/PCS Education:
-
Utilize training books published
by AHIMA Press.
-
One week intense education and
training on site utilizing training books published by AHIMA,
and practice coding hospital medical records.
-
Review case studies and identify
physician documentation deficiencies.
-
Our instructors are AHIMA
ICD-10-CM/PCS approved.
Ambulatory Surgery Audits
Review and analyze:
- Coding accuracy and proper assignment of ICD-9-CM diagnosis codes.
- Proper application of CPT coding guidelines and principles.
- Proper assignment of CPT and HCPCS Level II modifiers.
- UB-04 billing forms for accuracy in representing the services provided in conjunction with the medical record documentation.
Quality
Monitoring & Auditing
Service
Our
consultants
can audit
and monitor
your coding
and documentation
quality on
a monthly
or weekly
continuous
basis
-
We will provide
continuous
education
and training
for all coders.
-
Assist
in the implementation
or revision
of a documentation
enhancement
program.
-
Continuously
monitor documentation
and coding
quality.
-
Monitors
are customized
per facility's
needs and
desired outcomes.
-
Enforce
coding guidelines.
-
Improve
documentation
quality.
-
Submit
statistics
to administration.
-
Implement
and monitor
coding, discharge
summary reconciliation,
and prospective
review process.
-
MS-DRG
versus paid MS-DRG
report monitoring.
-
Educate
and train
coders on
how to educate
physicians.
-
Assist
in physician
education.
-
Educate
and train
new coders.
.
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