Covid-19 Audit:
- Documentation
- Charge capture
- Revenue and reimbursement validation
Telehealth Audit:
- Documentation
- Charge capture
- Revenue and reimbursement validation
Charge Description Master (CDM) Management:
- Ensure revenue integrity with accurate and complete compliant coding, and optimal pricing methodologies
- Chargemaster development
- Chargemaster restructuring
- Chargemaster standardization
- Chargemaster maintenance
Charge Capture Integration:
- Ensure successful integration with the CDM file to produce accurate charges for services and items provided
- Implement charge documentation and revenue reconciliation process
- CDI – Clinical Documentation Improvement
Coding – ICD-10:
- Ensure accurate and compliant coding for diagnosis, services, and items
- Coding and Compliance Audits
- Implement regulation updates
- Denial and Appeal Process
Medical Auditing:
Defense, Patient, Concurrent, Focused Audit
Managed Care Contract Review:
Ensure accurate and complete contract wording for optimal reimbursement for services and items provided