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ICD-9-CM Coding Audit

Most hospitals experience striking improvements in their DRG and outpatient reimbursements with better coding. But staff turnover, annual ICD-9-CM changes and frequent rule revisions from CMS make it impossible for many hospitals to keep up.

Ingenix created the ICD-9-CM Coding Audit to evaluate coding accuracy and the appropriateness of the DRG assignment. The Ingenix Clinical Coding Analysis report is a component of this product. This audit analyzes 126 DRG categories for risk of upcoding and under-coding. We also analyze your hospital's top 30 DRGs and carefully evaluate ICD-9-CM codes in conjunction with medical record documentation.

Your ICD-9-CM Coding Audit will include:

  • Review of a targeted sample of records
  • Calculation of the average increase per case
  • Projection of annual impact
  • Identification of cases for adjustments
  • Training on cases reviewed - this program has been prior approved by the American Health Information Management Association for continuing education hours.

To learn more about this product, please e-mail us now or call 800.348.2633 opt. 5, opt. 1, ext. 23461.

Areas of Expertise:
Chargemaster Review and Update
Hospital Inpatient and Outpatient Services
ICD-9-CM Coding Audit
Outpatient CPT® Coding Audit
APC Impact Review
Physician Services Coding and Billing Assessment
More Consulting Information:
FAQs
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CPT is a registered trademark of the American Medical Association


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