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Online Review Services

Coding Concepts can help ensure you are coding to the highest level of specificity and that your documentation is in compliance with current regulations.

Providing your coders with individual feedback on accuracy is an essential function that will enhance productivity, provide education and promote confidence within your staff.

The review process is intended to be a guide for the continuous improvement of medical coding and physician documentation. It improves data integrity by capturing the correct and earned reimbursement which ultimately leads to the continued growth and viability of the organization.

Coding Concepts will assess the appropriateness of documentation and determine the accuracy of the medical coding which will address proper code selection and appropriate level of specificity. Coding Concepts will identify any inconsistencies between ICD-9-CM and CPT medical coding and inclusive CPT codes that have been unbundled, as well as the DRG assignment, which may potentially result in the maximization and overestimation of revenue. The objective of this program is to ensure that all hospital and physician practices accurately code records based on appropriate documentation and adhere to the policies set forth by Medicare and Medicaid which will be in compliance with federal and state regulations. Tips will also be provided to improve documentation practices where indicated.

- Diagnosis Related Grouping - Inpatient
- Outpatient - E&M Review

For more information about our most common medical coding services or if you would like a consultation then please contact our corporate office.

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