Coding

Case Study: “Auditing the auditor” uncovers a need for coding education and process improvement

November 14, 2022

“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…

Case Study: Partner leverages coding partnership expertise to mitigate compliance risk

November 14, 2022

Partner leverages coding partnership expertise to mitigate compliance risk. Case Study Partner leverages coding partnership expertise to mitigate compliance risk. A routine third-party audit reported high ER Evaluation & Management (E/M) error rates for an acute care hospital with 182 beds and $313M NPR. Incorrect reporting of these errors would skew current revenue and coding…

Case Study: Client reduces AR days by 36% in 120 days

November 14, 2022

Client reduces AR days by 36% in 120 days. Case Study Client reduces AR days by 36% in 120 days. This 47-bed acute care hospital battled delayed reimbursement and missed revenue due to coding accuracy and productivity. They saw an increase of coding-related denials and lower-than-anticipated reimbursement levels. Coders had limited access to training resources…

Checklist: Prep for a Successful Coding Audit

April 10, 2021

Accurate and efficient medical coding is crucial to a health care provider’s ability to optimize reimbursement and meet compliance requirements. All hospitals and health care organizations should maintain a robust coding quality compliance plan with periodic coding audits while providing education opportunities to staff members that will strengthen coding processes. These coding audits are vital…

The Value of a Complete Medical Coding Quality Audit Program

April 9, 2021

One of the top defenses against risk, exposure and low reimbursements is a strong medical coding quality audit program. With this program, hospitals and health care organizations can achieve coding and financial success, quality outcomes, and avoid costly penalties. The program identifies areas of opportunity for risk and/or areas of concern while also identifying areas…

Top 6 Questions to Ask When Choosing a Medical Coding Audit Vendor

April 6, 2021

A trusted health care revenue cycle management vendor can be an invaluable partner when helping your hospital or medical organization develop and maintain a complete medical coding quality compliance program. Ensuring medical coding quality is crucial when optimizing your organization’s denial management practices and helps reduce missing revenue while avoiding financial and compliance risk from…