CODING AUDITS ── RECORD REVIEWS
Records coded by your team – targeting specific coders or service lines, new coders, or any group you’ve identified – are imported into Axea's web-based audit management platform and reviewed by our credentialed, auditors. We assess coding accuracy and provide expert insights on necessary adjustments and the reasons to support those adjustments.
Flexible Audit Service Options
- Total Quality Audits: Axea’s coding audits help identify problematic areas related to coder education, documentation quality, and potential reimbursement dollars that healthcare organizations often leave on the table. This insight is used to develop an education and training plan to improve documentation quality and coding performance.
- Customized Coding Audits: Targeted reviews to support unique situations such as a new physician or targeted physician quality review, physician practice merger or acquisition, a new program or facility, or specialty environments such as infusion centers.
- Pre-Bill Audits: Axea’s pre-bill audit function encompasses a comprehensive examination, provided in real-time, to ensure a claim is accurately coded prior to billing, which is proven to significantly reduce claim denials.
Legal Medical Review Services
Axea’s comprehensive menu of services offers a myriad of solutions for claims and legal professionals to confidently evaluate the medical records and the medical appropriateness for personal injury and malpractice claims.
Case Evaluation
Medical Case File Review
Expert Witness
Comprehensive Case Evaluation
Our Comprehensive Case Evaluation speaks to the specific medical documents of the case. We provide a report outlining the details and deviations, with the reviewing qualified healthcare professional available to support opinions through deposition or trial.
Efficient and Customized Medical Record Review
In every malpractice/personal injury case, patient records are crucial evidence. Reviewing and summarizing them can be quite ominous. Axea’s review team distinguishes itself through its depth of experience by providing vast expertise in specialty services customized for each client.
Technical questions surrounding medical issues arise. Presenting these issues accurately and decisively during mediation and litigation to a mediator or other parties with limited medical background can be the difference between a case won or lost. Axea provides expert medical support with evidence-based reviews that address the extent of injury, causation and relatedness, the necessity of treatment/surgeries, and pre-existing medical issues.
Experts for Deposition and Testimony
Axea experts with subject matter knowledge provide in-depth insight on all aspects of medical documentation. Presenting these issues accurately and decisively during mediation and litigation to a mediator or other parties with limited medical background can be the difference between a case won or lost. The Axea team of experts participates in depositions and testimony to establish credibility for their findings and help the case focus on crucial points of interest.
Case Evaluation
Medical Case File Review
Expert Witness
Comprehensive Case Evaluation
Our Comprehensive Case Evaluation speaks to the specific medical documents of the case. We provide a report outlining the details and deviations, with the reviewing qualified healthcare professional available to support opinions through deposition or trial.
Efficient and Customized Medical Record Review
In every malpractice/personal injury case, patient records are crucial evidence. Reviewing and summarizing them can be quite ominous. Axea’s review team distinguishes itself through its depth of experience by providing vast expertise in specialty services customized for each client.
Technical questions surrounding medical issues arise. Presenting these issues accurately and decisively during mediation and litigation to a mediator or other parties with limited medical background can be the difference between a case won or lost. Axea provides expert medical support with evidence-based reviews that address the extent of injury, causation and relatedness, the necessity of treatment/surgeries, and pre-existing medical issues.
Experts for Deposition and Testimony
Axea experts with subject matter knowledge provide in-depth insight on all aspects of medical documentation. Presenting these issues accurately and decisively during mediation and litigation to a mediator or other parties with limited medical background can be the difference between a case won or lost. The Axea team of experts participates in depositions and testimony to establish credibility for their findings and help the case focus on crucial points of interest.
WHY AXEA?
- Pinpoint knowledge and decision-making challenges that generate coding errors.
- Foster overall coding accuracy and compliance across your team.
- Avoid under coding or over coding and related billing issues.
- Gain the insight you need to evaluate coder performance, identify education needs, and enhance communication with your coding resources.
ADDITIONAL SERVICES
|
CDI
We evaluate, improve, and monitor CDI, so you don't have to. |
Claims Review & Edit
Avoid denials and revenue leakage by generating clean claims. |
Denials and Appeals Management
Resolve denied claims and keep cash flowing. |
RCM Consulting
Foster quality and efficiency throughout your revenue cycle. |