Our Certified Coders are highly trained Coding professionals holding credentials from either the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA).
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Our Certified Coders perform both prospective and retrospective chart audits to ensure adequate documentation and accurate CPT, ICD-9-CM, ICD-10-CM, CPT-4, E&M coding and DRG Validation. 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.
Physician Bill Audits
• Our Certified Coders will review the medical records for accuracy, missing modifiers, provide recommendations for federal/state compliance and other regulatory entities.
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• Maximize your billing with expertise and awareness of carrier bundling tactics.
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• Identifies consults vs. new patient screening visits and maintains compliance within Medicare regulations.
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Coding & Compliance Audits
Eliminating healthcare fraud and abuse has become a top priority for the federal government. Conducting a Quarterly audits or at the minimum an annual external audit can provide even greater improvements and lead to more consistent coding results.
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Coding compliance is the crucial to revenue success and can prevents losses and helps healthcare organizations in revenue recovery. Our experienced compliance auditors help identify missing or missed revenue, inaccurate medical coding, and insufficient documentation.
ICD-10-CM/PCS Clinical Documentation Review
ICD-10-CM/PCS Coding Education and Training
Assisting physicians and medical providers to identify areas of documentation that accurately reflects severity of illness, risk of mortality, quality, core measures, and the physician quality reporting system.
AHIMA-Approved ICD-10-CM/PCS Trainers will provide staff education, assistance and support in understand the changes associated with the new coding system and learn to work with the new conventions, guidelines, and terminology.