Medical Coding Audits
We offer professional medical coding audits and coding compliance reviews that ensure compliance and appropriate reimbursements.
RMC has over 25 years’ experience in coding and compliance reviews with a diverse range of clients. We provide services to hospitals and physician clinics of all sizes, including academic/trauma level 1 medical centers, behavioral health hospitals and clinics, critical access hospitals, dental offices, health plans and law firms.
A STELLAR REPUTATION IN THE INDUSTRY
At RMC, we’ve built our business by providing expert medical coding and compliance services, resulting in an excellent reputation among our peers in the Health Information Management (HIM) and compliance industries. Our work is delivered in an accurate, efficient and professional manner. We’ve come to know our clients well over the long term, as we’ve built relationships while providing incomparable coding and auditing services.
All RMC coding compliance audits are performed in accordance with official coding guidelines (AHA’s Coding Clinic, AMA’s CPT Assistant, etc.), as well as CMS regulations, and other applicable federal and/or state guidelines. Our robust internal quality assurance program is integrated into our protocols, and crucial to the integrity of our services. We believe in our services so much that we have a 100% satisfaction guarantee.
OUR MEDICAL COMPLIANCE TEAM IS THE BEST IN THE FIELD
RMC’s auditors represent the “best of the best”, who are experienced, credentialed coding specialists and their skills are reinforced by ongoing quality reviews and education. We hold our auditors to the highest standards in the business, and we’re committed to employees that are based in the USA. Learn more about our hiring practices and our team by clicking here.
Education is the goal of all RMC’s coding audits. The purpose of our post-audit education is to identify, explore and educate any deficiencies or areas of weakness discovered during the audit process. RMC’s team makes every effort to work closely with our clients as we ensure key concepts in areas of improvement are easy to understand. These vary from client to client and RMC takes extra steps to ensure that the education, training and mentoring given is customized and tailor- fit to each individual client’s internal coding practices and policies and procedures.
Medical Compliance Reviews May Include:
- Inpatient Coding Audits DRG/MSDRG/APRDRG/IPF/IRF
- Outpatient Coding Audits ER/ASU/OBS/Ancillary
- Physician Services Audits – All Specialties including Dental
- Focused/Specialty Coding Audits RAC/OIG Targets
- Clinical Documentation Improvement Audits
- Risk Adjustment HCC/Mock RADV
- Charge Description Master/Charge Capture Discharge Disposition
- CPT, CDT, HCPCS, and ICD-10 Accuracy
- Documentation Assessment