Coding & Compliance Review

• Coding and Documentation Assessment (CDI) audit reviews to ensure coding quality and compliance.
• Assessment of documentation for potential deficiencies and identify improvements to reduce exposure.
• Quality assurance reviews of professional coding specialists or providers for coding assignment accuracy.
• Evaluation of proper use and assignment of the ICD-10-CM, CPT and HCPCS Guidelines for Coding, HCC assignment, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives.
• 2021 EM Professional Services assessments and training.
• Practice Management Analysis to evaluate workflow, code capture process, revenue posting and follow up.
• Compliance Plan Development for practice billing and coding compliance and implementation.
• Executive Reports with detailed findings, process improvements and educational guidance.
• Specialty Coding Service – Interim Coding, Process Improvement, Training, Medicare regulation assessment.
• Hospital and Ambulatory Center – Policy & Procedure, and Compliance Plan process evaluation.
• HIM review of department process and Policy & Procedure guideline assessment.

• Professional component coding and documentation training and education.
• Specialty-specific training, including documentation, procedural coding and diagnosis assignment.
• 2023 EM Documentation training including Medical Severity, Data collection, Risk and Diagnosis assignment.
• Revenue Denial Management training for claim and coding resolutions.