Medical Coding Audits
The Office of the Inspector General is increasing its audit surveillance. With this in mind, every facility should audit its coding at least once per year. Employee turnover, rapid facility growth or previous coding errors are just some of the reasons a more frequent auditing program is recommended. mdStrategies can develop a statistically valid audit program that will allow you to assess the accuracy of your current coding solution and allow you to target any areas in need of improvement.
mdStrategies can develop a customized coding audit package to assist your facility in identifying any areas needing improvement. You will receive a coding audit report with an explanation of findings and recommendations. Each report can include an analysis detailing the appropriate use of:
- ICD-9-CM diagnosis and procedural codes
- CPT-4 and Category III codes
- HCPCS Level II codes
- Revenue codes
- Modifiers
- Pathology note findings
- Implant codes
- National Correct Coding Initiative (NCCI) Edits
- Local Medical Review Policies
A comparison of codes used and the correct code assignment is completed. Detailed information and supporting documentation is provided to assist in understanding the correct coding guidelines.
Reimbursement Audits
mdStrategies is also available to perform reimbursement audits to determine if the amount of reimbursements received is in accordance with the procedures billed. Incorrect billing is one of the major reasons an account spends increased days in accounts receivable. Let one of our reimbursement specialists review your reimbursement system to ensure proper and efficient techniques are being followed.
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