Our Certified Coders perform both perspective and retrospective chart audits to ensure adequate documentation and accurate CPT, ICD-9-CM, CPT-4, E&M coding and DRG Validation. Our Certified Coders will review the medical records for accuracy and missing modifier and provide recommendations for compliance with federal/state and other regulatory entities.
Changes in DRG methodology, coupled with the shortage of experienced and qualified coders, can potentially lead to incorrect DRG assignment. At AHAP our experienced coders will review the medical records to make sure that the diagnosis and procedure codes are accurate and valid. If a coding error is identified, our coder will assign a revised diagnosis and procedure code in accordance with national coding standards. AHAP will also provide an audit report on findings indicating any changes including comments and suggestions in revenue recovery efforts.
· Our Certified Coders will review the medical records for accuracy and missing modifiers and provide recommendations for compliance with federal/state and other regulatory entities.
· Maximize your billing with their knowledge of carrier bundling tactics.
· Help your practice get paid for specialty billing.
· Help you determine Consults vs. New patient screening visits to keep you in compliance with Medicare.
American Healthcare Audit Professionals is prepared to meet your coding needs on a permanent or on interim basis. These audit services are available to our clients:
· On-site coding: Our staff will come to your facility and perform coding audits.
· Off-site Coding: Client will send via fax copies of records to us to code and fax back to client.
· Remote coding: Records can be electronically transmitted to us via secured server to be coded.
“Making a difference where it counts!”
"Documentation errors and omissions can clearly put hospitals and physicians at risk for denials. Most physicians don't understand the link between what they write in a medical record and what the hospital, and they get paid. Nor do they understand the very real risks of fraud and abuse charges that can result from patterns of errors. Understandably, healthcare providers put patient care first and we wouldn't want things any other way. When the doctor is called to see a patient with chest pain, writing a detailed note is just not the first thing on his or her priority list. Too often though, providing excellent patient care is used as an excuse for very poor documentation. " Read on