“Auditing the auditor” uncovers a need for coding education and process improvement.

Case Study

“Auditing the auditor” uncovers a need for coding education and process improvement.

A Midwest IDN client with 1,200 beds and $1.8B NPR was experiencing decreased coding accuracy and productivity, negatively impacting financial performance. Reliance on internal QA processes and a high volume of complex cases contributed to deficient coding accuracy. An external audit of 250 Medicare records resulted in an 85.6% accuracy rating–nearly 10% below industry standards.