Coding Compliance Reviews - Inpatient MS-DRG Audit
A structured coding and billing validation audit program performed by an external, unbiased third party.
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A structured coding and billing validation audit program performed by an external, unbiased third party will assist your organization’s ongoing efforts to maintain compliance with regulatory requirements, identify and correct errors that may reduce revenue, and prepare for the escalating levels of external scrutiny imposed by government regulators.
Healthcare Cost Solutions (HCS) provides various types of coding validation audit services, performed by credentialed HIM professionals experienced in coding and reimbursement compliance. Our on-site and remote coding validation audit services assist organizations in identifying and correcting occurrences of coding non-compliance that result in either “over-coding” or “under-coding.”
An Exit Conference educational session is conducted with the coding staff at the conclusion of every audit. Continuing education units (CEUs) from AHIMA are awarded to all staff in attendance. Recommendations for coding changes are supported by authoritative, official coding and billing references. A detailed and comprehensive summary report is provided that includes documentation of all findings and identification of patterns and trends that can be used for internal communication and administrative discussion.
Inpatient MS-DRG Audit
A MS-DRG coding compliance audit assesses the accuracy and validity of ICD-10-CM diagnosis and procedure codes based on the inpatient clinical documentation. Appropriate MS-DRG and/or 3M™ All Patient Refined DRG (APR DRG) Classification System assignment is validated based on the diagnosis and procedure codes assigned and validated. At the discretion of the client, discharge status assignments and present-on-admission indicators are also verified.
Experts, focused on your needs.
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Why Trust Coker
For more than three decades, Coker has been a trusted partner to healthcare leaders and investors, delivering clarity, compliance, and confidence through every stage of the transaction and beyond.
Positive outcomes are possible for you and your patients.
We approach every engagement with a results-driven mindset, leveraging our deep industry expertise and data-driven insights to develop strategies that drive meaningful, measurable improvements in performance.
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Solutions We Offer
We partner with clients to navigate the dynamic challenges of managing a high-performing physician enterprise.