Hospitals
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Coding Quality & Compliance Advantage™

Our Coding Quality & Compliance Advantage (CQCA) program ensures that you remain compliant while ensuring that all legitimate patient revenue is realized.

Ingenix research shows that hospitals fail to claim $194 per inpatient record and $139 per outpatient record.


Experience


Ingenix’s Consulting Services improve revenue cycle management by pinpointing operational problems and providing actionable recommendations for improvement. Ingenix consultants average 20 years of senior management experience each in HIM, clinical service lines, finance, and related fields.

CQCA Program Overview

  • Randomly select medical records for review
  • Determine if errors are present
  • Prepare comprehensive report identifying problem areas
  • Make specific recommendations for improvements

Compliance

Are you collecting all of the revenue to which you’re entitled while maintaining compliance with OIG guidelines? Our coding and compliance programs assist your compliance efforts while helping organizations to realize all legitimate patient revenue.

Audits and Analysis

The CQCA program audits and analyzes your historical coding data. During the audit, Ingenix compares the codes assigned by your HIM department to the codes that go out with the bills. When the audit is completed, you are provided with a comprehensive report identifying problem areas along with specific recommendations on how to improve them.
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