Documentation and Coding Audits
At AccuMedChart, we don’t believe in a one-size-fits-all approach. Before we begin, we’ll talk with you to understand your unique standards that should be applied to your audit. AccuMedChart conducts audits using your local CMS carrier guidelines for applicable services. Where CMS guidelines are not pertinent or do not apply, we audit using industry standards from ICD-10-CM, CPT®4, HCPCS. This ensures we’re consistent in conducting each audit in accordance with your organization’s unique standards and requirements. We can identify existing coding and documentation issues that may affect your organization’s revenue or put your organization at risk for compliance violations. AccuMedChart provides the gold-standard in a comprehensive assessment of documentation, coding and billing practices and habits. We can then provide guidance and education to facilitate in correcting or modifying.
AccuMedChart provides the gold-standard in a comprehensive assessment of documentation, coding and billing pratices and habits. They provide guidance and education to facilitate the correction or modification of codes.
Post-Payer Audit Investigations
We validate the accuracy of audit findings for repayment requests. By objectively applying CMS & CPT coding principles and guidelines, we reveal errors in the original review and reduce your repayment amounts. Additionally, our experts will identify areas where a physician’s work is not being accurately reflected in the documentation. Then, through education and documentation tips, your providers can better translate their thought processes into more accurate coding and claims submissions.
Risk Adjustment Audits
We thoroughly verify compliance and validate documentation and coding to avoid inaccurate risk adjustment or underpayments with an expert HCC audit by our HCC team. We utilize a structured methodology designed to validate the accuracy of diagnosis coding related to HCC categories and determine whether or not records meet CMS’s compliance requirements.
Outpatient CDI and ICD-10 Clinical Documentation Audits
Capitalize on overlooked opportunities for improvement, around multiple service lines within your healthcare system or facility by implementing best practice policies and procedures. AccuMedChart can provide expert outpatient CDI assessment, program development, staff training and ICD-10 clinical documentation audits.
Underpayment Recovery Audits
Detect payment variances, flag underpaid and incorrectly closed claims and identify inappropriate denials and rejections. At no upfront cost to clients, AccuMedChart provides an underpayment recovery service that helps hospitals and health systems quickly recover your dollars, enhance your revenues and keep your financials healthy
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Physicians and hospitals nationwide trust AccuMedChart for their medical billing and coding needs. Talk to an advisor and learn why.