Medical Coding Audit Services
An Audit Program That Drives Compliance and Improvements in Your Practice
Audits can have a negative connotation, but building a culture of improvement starts with data-based coaching for providers
Neolytix Medical Coding Audit Services
Boost Your Coding Accuracy and Revenue with a Neolytix's Coding Audit
Are you confident that your providers are coding charts correctly? Is the documentation complete? Is medical necessity being documented? Are you getting paid accurately for the exceptional care you provide? Don’t let coding oversights hold you back from maximizing your revenue potential and reducing audit risks that can put provider licenses in jeopardy.
Neolytix empowers healthcare providers to take control of their coding practices with comprehensive medical coding audit and improvement services that enables improvement in:
- Coding Accuracy
- Documentation
- Revenue
- Over Coding Risk
- Compliance
Neolytix identifies potential deficiencies and creates a custom quality improvement plan based on your requirements. Combine our Coding Education initiative with the Coding Audit service to build a culture of excellence in your healthcare organization.
Neolytix’s Coding Audit & Education Service
Neolytix's Audit
Service
Enhance Coding Accuracy and Revenue
- Maximize Revenue
- Ensure Compliance
- Identify Improvement Opportunities
- Reduce Financial and Legal Risks
- Enhance Provider Performance
Neolytix's Coding
Education Service
Master the Art of Coding
- Continuous Revenue Improvement
- Expert Guidance
- Comprehensive Curriculum
- Cutting-Edge Resources
- Ongoing Support
Build a Data-Driven Healthcare Organization by Adding Coding Analytics Services
Data Analysis
Visualization
Monitoring & Tracking
Collaboration & Reporting
Coding Accuracy Rates
Analyze coding data and calculate accuracy rates by comparing the coded diagnoses and procedures to the documentation or coding guidelines.
Detect discrepancies, identify incorrect codes, and measure the overall accuracy of the coding process.
Coding Patterns and Variations
Uncover coding patterns and variations within the coding data.
We can identify instances where certain codes are consistently overused or underused, which could indicate coding errors, incorrect interpretations, or potential fraud or abuse.
Coding Productivity and Performance
Track and monitor coding productivity metrics, such as the number of records coded per hour or per coder.
We can provide insights into individual or team performance, identify bottlenecks, and help optimize coding processes.
Audit Trail and Documentation
Analyze coding audit trails and documentation to ensure proper documentation and coding practices are followed.
We can help identify missing or incomplete documentation, lack of supporting evidence for code assignments, or instances where coding edits or changes were made without proper justification.
Inspect, Detect & Improve
What Could a Medical Coding Audit Discover?
We often ask: How could I benefit from a coding audit? Below we illustrate some of the benefits of how healthcare organizations can directly benefit from receiving a coding audit from an external expert company like Neolytix.
ID Coding Errors
The audit may identify where incorrect codes have been assigned, leading to potential unbundling, undercoding or overcoding. This finding helps providers ensure accurate code selection in the future, reducing claim denials and compliance risks.
Documentation Insufficiencies
The audit may reveal gaps in physician documentation, such as missing or incomplete information necessary for accurate code assignment. Use this feedback to improve documentation practices, ensuring that all relevant details are captured to support appropriate code selection.
Reimbursement Opportunities
The audit may uncover areas where providers have missed opportunities for proper reimbursement. This could involve services that were not appropriately captured or codes that were overlooked.
Compliance Issues
The audit may identify instances of non-compliance with coding guidelines and regulations, such as unbundling, upcoding, or other improper coding practices. Providers can address these compliance issues to mitigate potential financial and legal risks.
Coding Process Efficiency
The audit may reveal inefficiencies or bottlenecks in the coding process, such as delays in coding turnaround time or inconsistencies in coding practices across different departments. Providers can use these findings to implement process improvements and standardize coding procedures, leading to a more streamlined and efficient workflow.
Staff Training Needs
The audit may identify areas where coding staff would benefit from additional training or education. This finding helps providers focus on targeted training initiatives to enhance the skills and knowledge of their coding team, improving accuracy and efficiency.
Invest in Cost and Revenue Transformation Strategies to Secure Your Financial Future
Invest in Cost and Revenue Transformation Strategies to Secure Your Financial Future
Make an impact on your coding processes and revenue or opt for a global revenue and cost transformation initiative by utilizing Neolytix’s RCM services.
Medical Coding and Billing forms part of the greater revenue cycle of healthcare organizations. Although optimizing smaller parts of the revenue cycle certainly contributes to a better outcome, more can be achieved when the revenue cycle as a whole is adapted and optimized in such a way that every moving part complements the other.
This revenue cycle management approach causes a cost and revenue transformation that will affect the bottom line and gear the organization toward future success.
After 11 years of helping healthcare organizations nationwide get a firm grip on their revenue cycles, Neolytix has become renowned throughout the industry for its results-driven approach and amicable manner of doing business.
Neolytix’s RCM service includes Medical Coding Audits and Coding Education.
Speak to A Specialist
Frequently Asked Questions (FAQ’s)
Medical coding auditing includes a comprehensive review of medical coding practices to ensure accuracy, compliance with coding guidelines, and adherence to regulatory requirements. It helps healthcare providers identify potential coding errors, improve coding accuracy, and minimize risks associated with coding audits and claims denials.
Medical coding auditing plays a crucial role in maintaining accurate documentation, optimizing revenue, and mitigating compliance risks. It helps medical providers identify areas for improvement, reduce coding errors, ensure proper reimbursement, and maintain compliance with industry standards and regulations.
Maintaining rigorous compliance programs not only ensures accurate and transparent coding but also mitigates the risks of financial penalties and reputational damage. Engaging in regular medical coding audits becomes a strategic imperative, offering providers a comprehensive assessment of their coding accuracy and the effectiveness of their compliance programs.
Neolytix offers a range of educational resources, including on-site training, webinars, workshops, and access to our online learning platform. Our experienced instructors provide engaging and interactive sessions that cater to different skill levels and coding specialties. We can tailor our educational programs to meet your specific requirements and help your coding team stay up-to-date with industry changes and best practices.
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