Coding Review and Risk Assessment
Review records to ensure coding is supported by medical record documentation, using methodologies based on the client’s needs. If coding reviews and/or risk assessment have not been performed within six months to a year, the review involves a baseline assessment. Frequency of review can change to monthly or quarterly. Some clients choose a 100% prebill audit for identified risk and mitigate accordingly.
Coder and Physician Education
Education for coders and physicians to improve coding and documentation relating to major changes in the reimbursement system.
RAC and Other third party Payment Assistance
- Provide audit assistance for coding denials as it relates to RAC and other payers
- Identify reoccurring issues for improvement opportunities and give feedback to affected departments
- Assist in managing deadlines related to these third party reviews