Diskriter's Medical Coding Compliance Assessment:
• Cost-effective
• Maintains client privilege
• Saves valuable time and resources
• Corrects overpayments or improper
Billing practices prior to the medical coding audit
• Minimizes your number of denied
payments in its upcoming audit
• Reduces operational strain that such
an audit can place on your staff
Medical Coding Compliance and Audits
What are they looking for?
• Discharge disposition accurately abstracted?
• Clinical Coding audits amply supported by documentation?
• Conditions correctly coded?
• IRF-PAI accurately completed?
• CMG & Payment Tiers appropriately assigned?
Diskriter can assist you with your preparation for meeting requirements in clinical coding audits as well as Medicare requirements
We can help you review your policies and procedures and conduct audits of medical records to help ensure
that all medical coding compliance criteria are properly adhered to.
Our Risk Assessment includes:
• Exposure / Risk identification
• Overpayments
• Medical Necessity
• Incorrect Coding
• Inadequate Claim Documentation
• Action Plan / Follow-up / Education
• Consulting
• Copying Services
• Appeals Tracking Services
What are they looking for?
• Codes fully supported by documentation?
• Medical Coding Audits assigned appropriately?
• Have the following issues been billed correctly?
• Blood transfusions
• Untimed Codes
• IV Hydration Therapy
• Bronchoscopy Services
• Once-in-a-lifetime Procedures
• Pediatric Codes Exceeding Age Parameters
• J2505 (Injection, Pegfilgrastim, 6 mg)
To achieve quality in health care, we need to ensure we have complete and accurate data in the medical record. Diskriter provides medical coding audit services to help our clients ensure their clinical documentation systems and processes are supporting effective revenue cycle management. Our programs also help our clients ensure compliance with the myriad of legal medical coding compliance requirements including JCAHO, ARRA, HIPAA, HITECH, and other national and state regulations.
RAC Assessment + Preparation (Acute Care)
RAC Assessment + Preparation (Rehabilitation)
The Joint Commission + CARF Preparation
We approach all levels of work with a complete commitment to quality and service excellence.
Through our Clinical Coding Audit program, we help our
clients in the following ways.
• Ensure medical coding compliance with legal and regulatory requirement
• Identify fraudulent claims and billing activity
• Prepare for recovery medical coding audit contractors (RAC)
• Uncover reimbursement deficiencies
• Address process improvement opportunities
• Compare clinical document metrics to industry standards
