Audits – What You Need to Know (Coding and Documentation)

Audits are critical. The government is giving more money to ensure healthcare providers do things right. For every $1 spent, they get $27 back. Providers can be fined up to $22,000 per year. The checks focus on the codes used by doctors for procedures and diagnoses.

There are three important reasons to do regular Coding and Documentation Audit:

First, coding must align with the services provided to process insurance claims accurately. As a result, OIG Compliance mandates routine audits.

Second, by conducting a Coding and Documentation Audit, it is possible to pinpoint any issues in the coding process. Such audits provide an objective analysis that can uncover holes or deficiencies in the coding system.

Third, the focus of Coding and Documentation Audits is to help training providers improve their coding habits by examining their documentation and code.

Physician Education

Our training program promotes accurate, reliable coding. By adhering to our policies, you can ensure compliance and significantly improve reimbursement. Moreover, with the help of our independent audits, your finances will be safeguarded, providing you with peace of mind. Trust us for optimal results and unlock your full potential today.

Independent Coding and Documentation Audits can:

In order to prevent fraudulent activity, it is absolutely essential to carefully verify the services that the insurance company has paid for by cross-checking the codes. It is also vital to detect any discrepancies that may arise due to incorrect coding or incomplete documentation. Hence, by addressing these issues proactively, we can avoid any potential challenges from insurance or government payers. Additionally, by ensuring the accuracy of the codes used by providers and correcting any outdated or incorrect ones, we open doors to new reimbursement opportunities. Therefore, it is crucial to prioritize accuracy and stay vigilant to safeguard against fraudulent activities.