Auditing and Operational Assessments
Auditing Services
The Office of Inspector General recommends that healthcare providers perform regular periodic claim audits to verify that they bill services correctly to Medicare and other third-party payors. An effective auditing program can decrease your compliance risk and increase your peace of mind. CODING STRATEGIES® (CSI) consultants perform audits tailored to our clients' specifications either onsite or offsite, prospective or retrospective, and as large or small as required. CSI consultants also pinpoint areas of compliance vulnerability as well as untapped revenue and maximize proper reimbursement. Findings are delivered in a comprehensive written report that will help in implementing corrective action and serve as a record of the client organization's compliance efforts.
Operational Assessments
Are your billing costs rising, but your reimbursement is lagging? CSI's operational assessment may be just what the doctor ordered. Our experienced professionals examine front-end and back-end charge entries and billing processes to identify the "black holes" that may be draining your revenue, including missed charges, inefficient workflow, duplication of effort, errors and re-work. CSI consultants have real-world experience and know how to address the issues healthcare professionals struggle with every day.