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DRG Coding
Perform an identical review of a sample of claims assigned within the 10 "Transfer DRG" categories Review all Diagnosis Coding for correct assignment of Primary Diagnoses Review all diagnosis coding for correct assignment of Secondary Diagnoses Assure medical record documentation supports all coded diagnoses Claim Denial, Suspend and Reduction reviews to assess problem areas and identify solutions as well as preparation of Re-submissions and Payer Appeals Coding: per diem and "backlog" coding services available by AAPC certified coders Our Coding Helpline to answer coding/billing questions is available with a 24 hour response time in most cases. A "Shadow Review service for Third Party Payer "Medical Claim Reviews" is available as an add-on or stand alone engagement. Documentation & Charge Capture Templates Litigation Support in Medicare
fraud/abuse actions Seminars for coders on diagnosis coding and correct assignment of primary and secondary diagnoses; inclusion of all co-morbid and co-mortal diagnoses and includes focus on revenue optimization and prevention of overpayment through accurate DRG assignment Billing seminars on DRG reimbursement. "Update Seminars" are available; focusing on regulatory change All seminars are available on videotape Additional services available
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