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. 

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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. 

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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.

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Key Features:

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• 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