Cracking the Medical Coding Conundrum
ICD and CPT Coding
Our team medical coders have extensive training to assign the most accurate CPT, HCPCS Level II, and ICD-10 codes that capture the complete clinical picture for each patient visit. We stay up-to-date on annual coding guideline changes and understand how to optimize codes based on intricacies like medical necessity, concurrency rules, and proper sequencing.
Medical Coding Audit
- Maintaining comprehensive documentation that supports your code selection.
- Having physician query processes in place to address any vagueness in visit notes.
- Performing internal auditing regularly to validate coding adherence and identify improvement opportunities.
- Tracking coding trends to avoid suspicious fluctuations that could trigger external auditing.
- Training staff regularly on compliant coding practices and ethics.
- Developing a written compliance plan outlining steps and safeguards followed.