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:

Outsourcing Medical Coding: The Key Advantages for Healthcare Providers

February 8th, 2024|Comments Off on Outsourcing Medical Coding: The Key Advantages for Healthcare Providers

Amid the complex labyrinth of healthcare administration, one area stands as a beacon of efficiency and cost-effectiveness—outsourcing medical coding. It brings an exhaustive list of benefits ranging from unburdening clinicians, reducing compliance exposure, minimizing claim [...]

HCC Coding Compliance: Avoid Revenue Loss and Fines in Healthcare

January 12th, 2024|Comments Off on HCC Coding Compliance: Avoid Revenue Loss and Fines in Healthcare

Navigating the complex labyrinth of HCC coding is a daunting task for healthcare providers due to the frequent carrier changes to rules and regulations, and non-compliance could mean substantial revenue loss and hefty fines. In [...]

Medical Coding Audits: Ensure Accurate Clinical Documentation

December 1st, 2023|Comments Off on Medical Coding Audits: Ensure Accurate Clinical Documentation

Why Conduct a Medical Coding Audit Medical coding audits ensure accurate clinical documentation, improve revenue cycle management, minimize revenue loss and coding liability, and maintain compliance with industry regulations. Improved Accuracy of Clinical Documentation Accurate clinical documentation [...]

DOJ alleges Kaiser Permanente defrauded Medicare of $1 billion

November 2nd, 2021|Comments Off on DOJ alleges Kaiser Permanente defrauded Medicare of $1 billion

Kaiser Permanente and members of its healthcare consortium defrauded Medicare of nearly $1 billion by tacking on diagnoses to patients’ medical records to earn more in reimbursement payments, the Department of Justice claims in a [...]