Coding Audits
Ingenix’s consultants evaluate coding production that might be improved by working through case management or utilization review staff to identify physician documentation improvement needs that can lead to increases in coding accuracy and efficiency.
Highlights
- Improve revenue-cycle management
- Maximize encoder usage
- Streamline regulatory updates
Charge Description Master
This CDM review addresses: compliance with third-party reporting guidelines and Medicare’s APC reporting requirements; operations, data flow and reporting compliance, including medical necessity issues; late charges, charting and order-entry issues; line-item issues, including non-billable supplies/equipment; and educational needs.
PPS Education
The transition from fee schedule, percent of charge, or per-diem payment arrangements to PPS can be a formidable task. Our experience indicates that many organizations move along the path to PPS without giving adequate consideration to key issues that can dramatically affect the ultimate success of implementation.