Tuesday, 13 March 2018

How Professional Coding Audits Make a Difference to Healthcare Organizations

Coding audits have to be conducted regularly for any kind of healthcare organization, whether it’s a tiny clinic, a large hospital, or a physician group. Different organizations have different schedules for conducting coding audits. Ideally, monthly coding audits can save organizations not just a great deal of money, but valuable time as well. 

Improve Coding Accuracy With Professional Coding Audits - Vee Technologies
Improve Coding Accuracy With Professional Coding Audits - Vee Technologies


There is a wide range of coding audits that can be implemented depending on the organization’s requirements. Examples are RAC audit and RAC audit support, DRG validation, coding revenue integrity audits, evaluation and management coding audits, etc. There are specific applications and scenarios for each of these coding audits in the field of health information management.

Even if things are going smoothly, professional coding audits can make a huge difference in the end. It can result in much more accurate coding as well as revenues which benefit both the patient and the healthcare organization.

For healthcare organizations that have niche specialties, the complexity of the coding would require more frequent coding audits. Frequent coding audits may also be required if there are new or inexperienced medical coders. Conducing coding audits frequently helps to reduce the error percentage in coding which leads to better reimbursement rates as well.

Coding audits also help in maintaining better compliance with the latest regulations, thus saving organizations from losing thousands of dollars in penalties or fines. This leads to less frequency of fraudulent claims as well as less stress.

Professional coding also helps get greater revenue by lessening the underpayment percentages. In-house coders and providers also get educated in better coding which leads to lesser errors and better outcomes.

There are a lot of things that professional coding audits do to help optimize and streamline the healthcare revenue cycle, from complying with regulations, timely and accurate adjudication of claims, denials reductions, etc.

Vee Technologies provides end-to-end services in coding audits which makes a difference for the better in healthcare organizations.