Services
Medical Code Auditing Services
Overview
Public and private payer audits are on the rise, resulting in lost revenue, heavy fines, and damaged reputations. To protect your organization and its hard-earned revenue, it’s critical to perform code audits with a partner you can trust.
By leveraging our auditing team for complete medical coding compliance audits, you can have confidence in the accuracy, quality, and reimbursement of your claims.
SERVICES PROVIDED
Comprehensive medical code auditing solutions
Complete coding compliance audits performed by our auditing team, including revenue impact analysis and lost revenue recovery. AGS Health offers medical auditing services for:
- Inpatient
- Outpatient
- Professional
- Value-Based Care audits including mortality and MIPS
BENEFITS
Maximize revenue, minimize risk with our medical code auditing services
Higher Operational Efficiency
Validate coding accuracy of patient encounters and identify errors and discrepancies in diagnosis codes, procedure codes, and modifiers to ensure documentation consistently reflects services provided.
Enhance Data Quality
Significantly improve data quality to ensure compliance and regulatory integrity, provide a rigorous feedback loop, and support follow-up with physicians, coders, or payers.
Optimize Accuracy of Reimbursements
Adequate documentation of complications and comorbidities (CCs) and their significant variants (MCCs) prevents underpayments, denials, and appeals to increase billing efficiency and revenue.
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Additional HIM and clinical services to streamline your revenue cycle
Clinical Documentation Improvement Services
Retrospective, concurrent, and prospective review of clinical documentation to identify missing information, place physician queries, and recommend improvement opportunities.
Medical Coding Services
Ensure accurate coding of medical services by experienced coders to prevent billing errors, reduce claim denials, and maximize reimbursement with improved compliance.
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When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.
