Auditing Tools
Medical coding audits are a key component to any organization’s compliance plan and assure proper coding, billing and reimbursement for services performed. In the past these audits have been performed on Excel spreadsheets with manual processes to determine accuracy rates and trends.
Inpatient (IPPS)
The Inpatient (IPPS) Module in ReviewMate provides accuracy rates for all audited elements, communication between the auditor and coder, a library of available reports that can be customized and exported, and an "Audit the Auditor" option. Click below for more details!
Outpatient (OPPS)
The Outpatient (OPPS - Facility outpatient) Module in ReviewMate provides accuracy rates for all audited elements, communication between the auditor and coder, a library of reports that can be customized and exported, and an "Audit the Auditor" option. Click below for more details!
Profee (Physician's Office)
The Profee (physician's office) module in ReviewMate provides accuracy rates for all audited elements, communication between the auditor and coder, a logic-based E&M leveling tool, a library of reports that can be customized and exported, and an "Audit the Auditor" option.
Ambulatory Surgery Center (ASC)
The ASC module (Ambulatory Surgery Center) provides accuracy rates for all audited elements, communication between the auditor and coder, a library of available reports that can be customized and exported, and an "Audit the Auditor" option. Click below for more details!
CMS-HCC (Risk Adjustment)
The CMS-HCC (Risk Adjustment) module of ReviewMate provides multiple platforms to assist in importing, analyzing and auditing individual patients for accurate reporting of encounters and diagnosis codes. Accuracy rates for HCC and overall diagnosis code reporting are provided as well as a suite of reports that can be exported. Click here to learn more!