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Medical Coding Audits

Comprehensive coding audits to ensure accuracy, compliance, and revenue optimization with expert analysis

Get Coding Audit
98.5%
Audit Accuracy
15%
Average Revenue Recovery
5-7 days
Audit Turnaround
500+
Audits Completed

Comprehensive Medical Coding Audits

Expert Audit Team

Certified coding professionals with extensive audit experience across all specialties and coding systems.

Comprehensive Analysis

Thorough review of coding accuracy, documentation support, and compliance with current guidelines.

Actionable Recommendations

Detailed findings with specific recommendations for improvement and ongoing compliance.

Educational Support

Customized training and education based on audit findings to prevent future errors.

Medical Coding Audits

Key Audit Focus Areas

Code Selection Accuracy

Verification that codes accurately reflect documented diagnoses and procedures

Key Indicators:
Specificity levels
Code combinations
Primary diagnosis selection
Procedure coding accuracy

Documentation Support

Ensuring adequate documentation supports all assigned codes

Key Indicators:
Medical necessity
Clinical indicators
Physician queries
Missing documentation

Compliance Adherence

Verification of adherence to coding guidelines and regulations

Key Indicators:
Official coding guidelines
CMS requirements
Payer policies
Local coverage determinations

Modifier Usage

Proper application of modifiers to indicate special circumstances

Key Indicators:
Modifier appropriateness
Bundling/unbundling
Multiple procedure rules
Bilateral procedures

Benefits of Regular Coding Audits

Revenue Protection

Identify and recover missed revenue opportunities

Compliance Assurance

Reduce risk of penalties and audit findings

Staff Education

Continuous learning and skill improvement

Performance Metrics

Track and improve coding accuracy over time

Protect Your Revenue with Expert Coding Audits

Ensure coding accuracy, compliance, and optimal reimbursement with our comprehensive audit services.

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