Our coding specialists will perform a comprehensive review of the RAC findings cited in the demand letter, patient medical record, and corresponding final billed claim to determine if the hospital documentation and/or billing information is appropriate.
Our consultant specialist can provide an assessment of the process as well as medical record review services for completeness of physician and clinical staff for documentation.
Our consultant specialists will review and audit single department or new service cdm line items for accuracy of the CPT©/HCPCS, UB revenue code, and modifier assignment for compliance with federal and MAC/FI rules and regulations
Our Comprehensive Charge Description Master CDM Review update includes analysis of inpatient and outpatient charges and all clinic charges maintained in the CDM and impacted by CMS PPS.
Medical Bill Audit, Billing and Coding Audit for Physician Office and Inpatient E/M Visits
Our consultant specialists will validate the billed E/M visit code against the documented encounter note in accordance with current CMS Evaluation and Management Documentation Guidelines.
Our medical coding auditor specialists will validate the CPT©/HCPCS and ICD-10-CM diagnosis coding assignment for outpatient services.
Our medical coding reviews specialists will validate the ICD-10-CM code sequencing of the principal diagnosis and the secondary diagnoses and ICD-10-PCS codes for the assignment of the MS-DRG.
Contract Medical Coding Services are provided by our (USA based) medical coding specialists who are qualified to assist our clients in quickly and efficiently reducing medical coding backlogs.
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