Medical Coding & Auditing: Ensuring Financial Health

▤ Summary

The types of codes used to create billable claims are managed by multiple sources, including CMS, WHO and the AMA. These agencies created unique coding sets to represent distinct types of data associated with patient health and the delivery of healthcare services. The most common scopes for an audit are: All of these payment methodologies pose varying degrees of risk for material errors in coding. However, the sheer volume of outpatient and professional fee coding can mean that material errors in those areas can easily add up to substantial amounts. Not only does this optimize revenue and ensure compliance, it also increases the chance to reveal a variety of issues such as poor medical record documentation and faulty processes.

▦ Linked Companies

Streamline Health

$10M to $25M

AAPC

$100M to $250M