Coding & Audit Compliance

Upon completion of the coding audit, we provide a detailed summary report to include the following:

Inpatient coding accuracy rate per coder and by DRG classification
Outpatient coding accuracy rate per coder
Coding and documentation trends and deficiencies
Recommendations based on audit findings
Detailed audit findings presented by individual chart
Detailed case mix analysis identifying current level and recommendations, if applicable

We can help you identify areas of risk in your coding process, make recommendations and provide education to help with compliance. We offer recurring or short-term audits; DRG validation and total data quality audits to verify accuracy of ICD-9 and DRG assignment; APC validation audits to verify accuracy of HCPCS/CPT coding; E&M audits to validate hospital ER and clinic E/M level reporting, as well as professional fee component documentation and coding.

Benefits Of Outsourcing Your Billing

There are many good reasons to outsource your billing to Pro-Med, but the biggest one is the ability to do what you do best, take care of your patients.

We work with you so you don't have to spend as much time on tedious billing, regulatory compliance, practice management, and accounting.

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