Coding

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“Auditing the auditor” uncovers a need for revenue cycle 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 revenue cycle 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…

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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 medical 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…

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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…

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Every code tells a story: How to bolster clinical documentation accuracy and success

July 28, 2021

Every code tells a story: How to bolster clinical documentation accuracy and success Watch More See All Webinars

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Checklist: Prep for a Successful Coding Audit

April 10, 2021

Accurate and efficient medical coding is crucial to a healthcare provider’s ability to optimize reimbursement and meet compliance requirements. All hospitals and healthcare 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 to assessing…

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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. Partnering with a revenue cycle management company to implement 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…

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

April 6, 2021

Top 6 Questions to Ask When Choosing a Medical Coding Audit Vendor 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 beyond the medical coding basics. Ensuring quality coding systems in healthcare is crucial when…