Services

Medical Necessity Audits | DRG Audits

You probably already perform healthcare auditing in your organization. But are you sure you’re catching as many errors as possible? An untrained eye could miss some important errors that will end up hurting your bottom line. A healthcare audit with experienced medical record auditors can help you to ensure accurate coding and in turn the highest quality of care for your customers. Healthcare Resolution Services (HCRS) offers medical coding audit assistance to help make your audit process precise and stress-free – so it is as useful as possible to your organization. Don’t waste time on a healthcare audit that won’t be of any benefit to your organization; call HCRS to make your audit work for you!

Our Medical Coding Audit Services

We have experienced auditors ready to help walk you through your medical coding audit. HCRS medical auditors will ensure coding is accurate and effective and meets all of the industry standards of medical necessity. Our professional team of auditors, including Nurse Auditors/Coders, operate under diligent physician oversight. We have extensive experience and a strong record of success in all types of medical record audits, including RAC (Recovery Audit Contractor) Audits and Audit MICs (Medicaid Integrity Contractors). So whatever type of audit you need help with, we’re here for you! All of our auditors are AHIMA- or AAPC-certified coder auditors with at least five years of experience so you can trust their experience will help them to catch even the smallest errors.

HCRS will conduct validation audits, focusing on the most vulnerable types of claims:

  • Incorrect payment amounts
  • Non-covered services, including those services deemed medically unnecessary
  • Mis-coded claims
  • Duplicate claims

Our experienced medical auditors will look for problems where they are most likely to appear – making the best use of your time and assuring common problems can be quickly fixed.

Benefits of Medical Coding Audits

Our experienced medical auditors will use their knowledge to perform a thorough and extensive medical coding audit of your organization. Their expertise will allow them to catch errors others might miss. You’ll find a medical coding audit will:

  • Reveal coding errors
  • Help you develop a plan to reduce errors
  • Evaluate employee coding compliance
  • Ensure obedience with coding system
  • And more!

You’ll be surprised how much a medical coding audit can reveal about your organization – and the opportunities it gives for positive change! You’ll be able to make the adjustments to help your business continue to grow and prosper!

Get the Most Out of Your Medical Coding Audit with HCRS

We’ve been helping healthcare organizations build their bottom lines while improving the quality of patient care since 1998, so we can help your organization reach its true potential. Medical coding audits can be extremely useful – when done properly. With help from HCRS, you’ll get the most out of your healthcare audit so you can make positive changes to your organization. Our experience allows us to catch the costly errors others miss so your organization doesn’t suffer because of a coding mistake. Contact us for assistance with your medical coding audit today!