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Medical Coding Audit Services

Avoid costly mistakes with a CodeEMR Medical Coding Audit.

Comprehensive Medical Coding Audits

Ensure compliance, optimize revenue, and improve accuracy with CodeEMR’s medical coding audits.

Our experienced certified coding professionals evaluate coding practices,  identify errors and areas for improvement, and help your practice, facility, or health system stop revenue leakage caused by under coding and other common mistakes.

CodeEMR offers regularly scheduled audits, risk-based audits, focus audits and HCC “Hierarchical Condition Category” audits tailored to meet the needs of your organization.

Make Sure Claims are Complete and Compliant

Evaluation and Management (E/M) Audits

Regularly Scheduled Audits

Regularly scheduled audits assess E&M levels, ICD-10-CM, and HCPCS codes to enforce best practices and address revenue leaks immediately.

Risk Based Audits

Risk-based audits compare all charged codes to national averages to build confidence in coding practices, suggest improvements, and eliminate the risk of inadvertent fraud.

Focus Audits

Focus audits target areas identified as problematic, with the goal of making recommendations and corrections to achieve optimal ROI.

Hierarchical Condition Category (HCC) Audits

Prospective Review

Count on CodeEMR to accurately document patient data, conditions, and coding to the highest specificity to secure correct reimbursement for the level of care provided.

Concurrent Review

HCC coders review inpatient/hospital claims in real time, assessing patient charts, clinical notes, and HCC codes to ensure coding to the highest specificity and reduce medical necessity denials.

Retrospective Review

Typically conducted weeks or months after a patient encounter and claims submission, the goal of this review is to potentially uncover unreported and incorrectly reported HCC codes.

Interested in learning more?

Contact us today to speak with one of our medical coding experts.

Comprehensive Coding Services to Streamline Your Revenue Cycle

Facility Coding Services

CodeEMR understands the dynamics of facility coding and how to apply CPT, HCPCS and ICD-10-CM codes to procedures and services performed there.

Pro Fee Coding Services

CodeEMR’s highly skilled workforce specializes in professional fee (pro-fee) coding, with a remarkable 98% accuracy rate and a 3-4x ROI..

Risk Adjustment Coding Services

As more payers transition to value- based coding, our AAPC-certified coding staff is ready to consistently achieve the highest level of reimbursement by coding to the highest level of specificity.

Transform your medical coding operations

Outsourcing medical coding services with CodeEMR ensures experienced remote medical coders will always be available to keep charts moving forward for improved revenue cycle management.

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