Medical Coding Compliance Department Support
COMPLIANCE OFFICE SUPPORT
Many multispecialty healthcare systems, academic faculty practices, and large medical groups have established central Compliance Offices, usually staffed with small number of coders. They are responsible for compliance reviews of all of the many specialties and subspecialties represented by the practice’s physicians. Considering the unique clinical characteristics of each specialty and the complexity and differences of the coding rules and regulations between the various specialties, we are absolutely convinced that it is virtually impossible for one person to know it all. The fund-of-knowledge encompassing the totality of medicine is simply too vast. This is why physicians specialize, and is the very same reason why we organized The Coding Network along a similar specialty-driven structure. Experience has taught us, over and over, that matching the coder/auditor’s expertise to a specific specialty is the only way to assure maximal accuracy and compliance.
We can support your Compliance Office’s efforts very economically. Our audit findings have the additional credibility of being from an outside independent firm with specialty-specific expertise. Your employed compliance staff can then focus their energy and resources on working one-on-one with each provider to improve the quality of their medical record documentation. This totally changes the dynamics of the provider-compliance relationship from one of adversarial “policing” to into one of teamwork to reduce legal risks and optimize revenues.
With our accuracy guarantee coupled with no monthly or annual minimums or “subscription fees,” we can cost-effectively support your Compliance Officer with no fixed expenses!
Latest Blog Posts:
Medical Coding Compliance: The Good, the Bad, and the Ugly
In today's complex healthcare landscape, maintaining coding compliance is more crucial than ever. Recent developments from the Department of Justice (DOJ), including the launch of the Corporate Whistleblower Awards Pilot Program (CWAPP), have further emphasized [...]
The DOJ’s New Whistleblower Program: A Vital Step for Medical Coding Compliance
On August 1, 2024, the U.S. Department of Justice (DOJ) launched its Corporate Whistleblower Awards Pilot Program. This initiative is a significant development in the DOJ's efforts to uncover corporate misconduct, particularly in areas not [...]
How to Reduce Overtime From Your Medical Coding Budget
Every coding operation, no matter how large or small, suffers from unavoidable coding outages due to: Vacations Sick Leave Maternity Leave Family Leave Coder Turnover In most cases, in-house coding operations choose one of the [...]
Coding Compliance Audits: Uncovering Deficiencies and Solutions
In an era where healthcare systems are intricately tied to digital platforms, meticulous coding accuracy cannot be a mere afterthought; it is an absolute necessity. Often overlooked, coding errors are the silent killers of compliance [...]