Medical Record Documentation to Support Coding and Reimbursement
Any effective compliance program must have periodic monitoring, internal audit and where necessary external audit. Medical record documentation - outpatient, ambulatory, office based, and inpatient must be periodically review to ensure that :
- Documentation is present to support charging, billing and claims.
- Documentation is present to substantiate medical necessity
- Cases are correctly coded and billed to payers.
- Opportunities for revenue optimization are not overlooked.
Does your organization struggle in these areas? If so you are not alone.
Most, if not all organizations across the country, struggle to ensure appropriate
reimbursement. Complete documentation, charging, coding, billing and claims activities require
constant oversight, variable expertise and access to resources not always available.
The Taiga Group offers periodic prospective and retrospective record review to
determine opportunities for improvement and ensure appropriate charging, coding, billing and
claims management. Contact Taiga today, and have a Certified Professional Coder (CPC) reviewing your documentation and providing feedback in no time..
