Compliance reports from medical coding audits

Coding audits can help target and address vulnerabilities in coding, assist in data collection and data mining, ensure coding integrity, and identify educational opportunities. A medical coding audit tool, like Atom Audit, can assist coding auditors with this cumbersome process.  

With Atom, you can:  

• Compile reports allowing you to know exactly how your coding is trending.
• Manage multiple projects.
• Ensure compliance objectives are met.
• Identify potential concerns early and provide feedback to address the coding issue.

Atom’s comprehensive reporting helps determine if your organization's coding function is compliant.  

Here is a list of the top compliance related reports run by Atom Audit clients: 

IP Summary 

• Summary of all findings including overall accuracy rates
• Diagnosis (overall) accuracy followed by Principal Diagnosis, Secondary Diagnosis, Total CC, Total MCC, Total HAC and Total HCC accuracy rates 
• PCS (overall) accuracy followed by Principal Procedures and Secondary Procedure accuracy rates 
• Coder accuracy summary listed by coder 
• Patient Safety Indicators (PSI) listed by PSI with any changes to the potential PSI 

IP Financial Summary 

• Reflects the Potential case mix impact and Potential DRG Reimbursement opportunities 
• Potential DRG Reimbursement Changes are listed by: 
  • Reason 
  • DRG 
  • Service Line 

IP by Coder 

• Consolidated summary of coder accuracy rates 
• Individualized coder accuracy breakdown 

DRG Rebill 

• Detailed listing of all accounts with a potential financial impact 
• Considered highest priority due to re-bill time periods 

IP Dx Breakdown 

• Detailed listing of all diagnoses reviewed with accuracy rates based on potential changes 
• Identifies educational opportunities 
• Identifies specific problem areas for coders (i.e. specific guidelines) 

Dx Type Breakdown 

• Detailed listing of CC, MCC, HAC and HCC accuracy rates with codes listed for each area 
• Identifies educational opportunities 

IP Dx Breakdown 

• Detailed listing of all procedure codes reviewed with accuracy rates based on potential changes 
• Identifies educational opportunities 
• Identifies specific problem areas for coders (i.e. specific guidelines) 

Take Action with Atom!