Detailed Review and Auditing

At HIM Coding Experts, we offer a full comprehensive Auditing Services to help you optimize your reimbursement while maintaining compliance with regulations. We will identify the strengths and weaknesses of your coding, documentation, billing and reimbursement practices to identify and report opportunities for performance improvement. Once areas are identified, we can customize coder and physician education and training to boost your compliance rate. We have certified auditors, who can fulfill all your needs.

HIM Coding Experts has wide range of expertise in Auditing Services includes:
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  • IM Internal Audit
  • MS-DRG Validation Audit
  • APC- Audit
  • Physician Office (Pro-Fee) Audit
  • Interventional Radiology Audit
  • Cardiovascular Audit
  • Chargemaster Audit
  • OIG High Profile Cases Audit
  • Itemized Charge Detail Audit
  • DRG Review to include Pre and/or Post Bill
  • RAC Audit and Appeals
  • ICD-10 Review
  • Education/Training: Quality Certified Staff 
Optimizing Performance with Auditing / Validation
 HIM Coding Experts Auditing Services help you to increase performance with the following:
  • Executive Reports
  • Action Plan for all cases with recommendations and reimbursement impact.
  • Summary of Findings
  • Financial Impact Report with original reimbursement and revised reimbursement for each case.
  • Detailed Diagnosis Report for cases with variances.
  • Detailed APC Report for cases with variances.
  • Detailed DRG and APC Claim Report with all auditor comments for cases with variances.
  • Policy and Procedure-Review & Development
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Optimizing Performance with Auditing / Validation
HIM Coding Experts Auditing Services help you to increase performance with the following:
  • Executive Reports
  • Action Plan for all cases with recommendations and reimbursement impact.
  • Summary of Findings
  • Financial Impact Report with original reimbursement and revised reimbursement for each case.
  • Detailed Diagnosis Report for cases with variances.
  • Detailed APC Report for cases with variances.
  • Detailed DRG and APC Claim Report with all auditor comments for cases with variances.
  • Policy and Procedure-Review & Development
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Audit Services for Hospitals 
HIM Coding Experts offers the following types of Auditing services for Hospitals:
  • Inpatient (Includes Medical/Surgical, Cardio, NeuroCare)
  • Audits Pre/Post ICD 10 Implementation
  • Same Day Surgeries/Observations/Outpatient services
  • Radiology: Diagnostic and Interventional
  • Emergency Departments
  • Hospital-based Clinics
  • Facility E&M
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Audit Service types for Physicians 
HIM Coding Experts offers CPT and HCPCS Coding for Physicians:
  • Surgeries
  • E&M (including Office Visits, Preventative Visits, Observations, Inpatient Services, Consultations and Emergency Services)
  • Inpatient Pediatrics
  • Critical Care
  • Newborn Services
  • Diagnostic Procedural/Surgical Services