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.
CPT is a registered trademark of the American Medical Association