Health Information Management
Coding Compliance Audit
With a senior staff of AHIMA certified HIM, clinical, and revenue integrity professionals Jzanus Consulting provides expert third party perspective that can assist with providing support for external audits (RAC, UPIC, OIG), litigation, and internal coding and billing denial audits.
Our coding compliance audits are designed to identify deficiencies that may impact revenue and quality by focusing not only on incorrect coding but also gaps in provider documentation. As part of our process, we also strive to identify and understand the underlying reasons for the problems impacting your organization so we can make recommendations for improvement.
Proprietary analytics along with our more than 20 years of providing healthcare audit services provide us with the expert insight to help you mitigate risk, confirm your compliance, and ensure your capture of rightful revenue.
Third party coding audit and appeal support
Coding and documentation deficiency audits
Clinical litigation coding expertise
ICD/CPT/HCPCS coding accuracy measurement
Focused reviews impacting revenue and quality while ensuring compliance
3M APR DRG Benchmarking comparisons each state or national perspective