Your partner in inpatient
and outpatient coding audits and beyond
Our audits identify inaccuracies and uncover documentation gaps affecting compliance. Through meticulous reports and actionable insights, we empower your team to improve coding accuracy like never before.
Why Accurate Medical Coding Matters?
Coding errors result in claim rejections and compliance violations, often stopping you from getting paid for what you deserve. Accurate coding eliminates all such issues and helps you provide an exceptional level of care to every patient.
You maintain compliance
Following healthcare rules is pivotal as it makes you compliant. As a result, you not only protect your facility against potential fines but also establish standardized protocols that improve your workflow as everyone will be working towards common goals.
You avoid revenue leaks
Accurate medical coding is your first line of defense against revenue leakage. When you capture and code all billable services, you prevent your revenue from slipping through the cracks and take your financial performance to the next level.
You improve efficiency
When codes are correct and in proper documentation, your claims process faster with little to no chance of rejection. This also reduces the need for follow-up inquiries which ultimately frees up your administrative team to handle other tasks.
What Is Included in Our Inpatient and Outpatient Coding Audits?
Whether you provide your services in a hospital setting, ambulatory surgery centers, or a clinic, our audits cover every aspect of medical coding, including:
Inpatient Audits
- Diagnosis-Related Group (DRG) Validation
- ICD-10-CM and ICD-10-PCS Code Accuracy
- Principle and Secondary Diagnosis Review
- Documentation Quality and Completeness, and more.
Outpatient Audits
- CPT, HCPCS, and ICD-10-CM Code Validation
- Evaluation & Management (E/M) Coding Accuracy
- Modifier Application
How We Work
We have a solid, 3-step process that takes care of all your needs from start to finish.
Why Choose Us?
For us, enhancing your healthcare unit’s efficiency is not a job –it is a passion that gets stronger with every interaction.
Our expertise is unmatched
Inpatient coding involves complex DRG validation and procedure coding, while outpatient coding focuses on E/M services, procedures, etc. Our professionals specialize in both niches and are fully equipped to do all the heavy work for you.
We dive deep into what we do
Medical coding is a complex process, and a minor mistake can result in significant financial losses or compliance issues. We have an exceptional eye for detail to identify errors, omissions, or inconsistencies, enabling you to stay on top of existing and evolving challenges.
We offer unending flexibility
Every healthcare organization has unique coding challenges, and we fully get it. As top-quality medical coding auditors, we offer customized audit plans to address your specific risk areas and help you meet your goals with extraordinary ease.
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