Our team of trained and experienced professionals provides comprehensive auditing services tailored to your organization’s needs. While we offer a full range of standard audits, we can also customize our approach to address specific challenges and requirements.
We review a representative sample of coded medical records to assess the accuracy and completeness of ICD-9-CM diagnosis and procedure code assignments and sequencing. Findings are documented in a written report and discussed with your leadership team.
Our auditors evaluate a targeted sample of charts focusing on problematic APCs and DRGs by reviewing both coding staff assignments and chargemaster codes. This may include emergency department visits, ambulatory surgeries, hospital-based clinic visits, and radiology. Results are documented in a detailed report for review with your team.
We conduct coordinated audits using both the medical record and UB92 itemized bill to identify reimbursement errors. Our team works with your staff to initiate recovery efforts and follow-up appeals for identified discrepancies.
Our clinical review team consisting of physicians, registered nurses, clinical documentation specialists, certified medical coders, and financial analysts thoroughly investigates each denied claim. Whether preventing denials or crafting appeal letters, we ensure a rigorous and detail-oriented approach to secure proper reimbursement.
For more information about our Auditing Services, call us at +1 (626) 222-1416 or email info@codicent.com.
By listening, we understand our clients’ unique needs and select only the most qualified candidates for your organization.