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! 

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