Coding Review

Interim Auditing

 

Interim Auditing

 
In today's complex healthcare environment, hospitals have to juggle many important initiatives.  The coding function has a tremendous impact on the financial health of your organization. As a result, the need for a robust audit plan has steadily increased, as well as the need to provide insightful education and training to your coders, CDI staff, and providers. The challenge is that the number of qualified auditors seems to be decreasing, while the need for quality audits is increasing.
 

Is your internal audit team struggling to keep up with the volume of audits being requested?  Or do you yet not have an internal audit team in place to conduct your audit requests? Let us help you manage your billing edits, address payer denials, investigate skewed quality metrics, and educate coders one-on-one with HIA's Interim Auditing services. 

HOW WE CAN HELP

Our comprehensive approach

We provide experienced coding consultants when you need them most. Our Interim Auditing services:

  • Provide one-on-one coder development/improvement
  • Address surging payor denial/appeal volumes
  • Assess coding's role in CMI fluctuations
  • Investigate skewed quality metrics
  • Supplement internal staff for focused auditing (DRGs/Dx, mortality, PSIs, monthly coder reviews, etc.)
  • Manage billing edits 

 


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