Our highly trained auditors conduct more than 300,000 audits annually. Clients range from solo practitioners to large integrated health systems, academic medical centers, and payers. We match the expertise of each auditor by medical specialty and conduct multi-tier reviews on every audit to ensure your findings are accurate and save you time and money.
Leave your auditing to the experts. Whether you are looking to completely outsource your needs or just need a second opinion, our nationwide network of credentialed auditors is here to help. We provide deep subject matter expertise in over 40 medical specialties to ensure your audits results are accurate and meaningful.
Our expert facility auditors deliver the accuracy you need to safeguard your bottom line. Our experts can identify specific areas of risk and provide support to your Clinical Documentation Improvement program.
Verify compliance and validate documentation and coding to avoid inaccurate risk adjustment or underpayments with an expert HCC audit. We utilize a structured methodology designed to validate the accuracy of diagnosis coding related to HCC categories and determine whether records meet CMS's compliance requirements.
We offer coding for any specialty. Our coding experience, coupled with our knowledge of all types of EMR vendors, will take your project from discovery to completion.
Expert coders for every specialty. Exceptional accuracy.
We work with a variety of government agencies and attorneys general throughout the country. If your organization is required to participate in a corporate integrity agreement, we can assist as your IRO (Independent Review Organization).
Validate the accuracy of audit findings for repayment requests. We reveal errors in the review to reduce your repayment amounts, identify issues with inaccurate physician documentation, and educate your providers so they can improve coding accuracy and claims processes.
Incorrect coding could be costing your organization revenue. Our risk auditors are ensure all your diagnoses are coded to capture maximize RA scores.
Experts for all of your organization's needs. Improve your revenue and eliminate risks.
Our flexible training is available on-site or remotely. We cover new provider training, post-audit education, and HCC training, as well as specialty training tailored for your organization.
CDM updates and maintenance enrich the revenue cycle, improve financial forecasting, and certify data reliability and compliance. A fully maintained CDM is a necessity for every healthcare facility.
From coding and auditing to training, we'll identify improvement opportunities and assist you in building a compliance plan that will improve your revenue and eliminate risks.
If your organization requires litigation support or expert witnesses relating to billing, coding, documentation or compliance issues, we have the subject matter expertise you need.