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Advancing Community Hospitals

HELP WHERE HOSPITALS NEED IT ®

HELP WHERE HOSPITALS NEED IT ®

Coding Audits and Chargemaster

 

Coding compliance and integrity is of upmost importance to the revenue cycle, especially during this time of increased governmental scrutiny and auditing. Medical records coding as well as the charge description master (CDM), or chargemaster, codes should be reviewed regularly to identify and correct any potential issues and ensure codes are current and being utilized appropriately.

 

We offer detailed coding audits of inpatient and outpatient records, which include:

  • Specific feedback on each audited record
  • Suggested changes and financial impact of any DRG or APC changes
  • Education on relevant topics based on audit results

In addition, we provide CDM review services which include an initial data review to identify invalid or deleted CPT codes and other discrepancies, as well as an onsite line-by-line review of the CDM with each respective department. This detailed review with department staff ensures that each code is being utilized in a compliant manner and also identifies all items and services that can and should be charged.

 

The changes identified during these sessions can be uploaded to the CDM file, resulting in a current, compliant and comprehensive CDM.

Services:

We improve financial performance for hospitals facing financial crisis and for those looking to build upon their current success.

Advancing Community Hospitals