Coding audit
Coding audit
Coding Audit for Improved Accuracy and Compliance
Coding audits are a vital part of maintaining accuracy, compliance, and optimal revenue in medical billing. At ARC RCM, our coding audit services help healthcare providers identify coding discrepancies, detect potential compliance risks, and enhance coding specificity. Through regular audits, we ensure that coding aligns with the latest guidelines, minimizing errors and denials.
Our Comprehensive Coding Audit Process:
- Multi-Level Review: We conduct thorough internal reviews, examining documentation, code assignment, and billing accuracy.
- Compliance Check: Audits ensure that coding practices comply with regulations such as HIPAA, ICD-10, CPT, and payer-specific rules.
- Error Identification & Correction: Our audits identify and rectify errors in code assignment, documentation, and modifier use, reducing denial rates.
- Continuous Improvement: We provide actionable feedback and training for healthcare providers to enhance documentation and coding accuracy.
Benefits of outsourcing medical coding services
- Specific Coding: Our expert coders have a deep understanding of medical terminologies and coding standards, allowing them to accurately interpret and apply codes to medical reports.
- Proper Documentation: We ensure coders receive clear, comprehensive, and legible documentation, enabling them to precisely read and assign correct codes.
- Correct Modifiers: Special attention is given to using the right modifiers, including accurate reporting of infusion and hydration codes, and proper use of modifier 22, among others.
- Access to References: Our coders have easy access to standard references like the HAAD Coding Manual, along with additional resources such as AMA, CMS, AHIMA, and AHA.
- Coding Audit: Every coding task undergoes a multi-level internal audit to detect and correct errors, enhancing specificity and accuracy.
- Regular Training: We regularly conduct training sessions to boost our coders’ expertise in codes, medical terms, legal compliance, and HIPAA regulations.
Why choose ARC RCM for medical coding services?
ARC RCM is a leading medical coding company committed to delivering top-notch coding services for healthcare providers. We understand that accurate medical billing and coding is a crucial step in the revenue cycle, directly impacting claim approvals and financial success.
Our team of AAPC-certified coders ensures precision in every code, significantly reducing the chances of claim denials. By adhering to the highest industry standards and compliance, ARC RCM guarantees top-quality coding services, helping our clients maximize revenue. We follow a core principle: “If it’s not documented, it cannot be coded.” However, our coders actively provide documentation support to help providers enhance their revenue flow.