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Optimize your audit and compliance program

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Achieve compliance from the start

Coding compliance and accuracy has never been more challenging. Or more important.

Coding quality has always been a critical objective of any coding team. The COVID-19 pandemic has made this effort more complex, and more important than ever before. New code sets and guidelines are under development to keep up with the diagnosis and treatment of the disease. Policies and regulations around virtual care have changed as the volume of telehealth visits has skyrocketed. For many, there is confusion and uncertainty on the appropriate coding of these records. Though challenging, getting the documentation and coding right is critical, and we can help.

What type of coding quality audits do we offer?

  • Professional coding
    3M can audit the accuracy and specificity of professional coding, including the documentation to support appropriate E/M leveling. This can be done using a random or targeted sample of cases, and prebill or retrospectively bill, depending on your needs.
  • Your coding quality program should include a mix consistent, retrospective audits, targeted ad hoc audits in response to problematic trends, and random audits to detect unforeseen coding issues. We can help with all of this.
  • As care in the outpatient setting rises, so will the stakes for coding completeness and accuracy. We can support audit and compliance efforts across all specialties or departments.
  • With changing regulations and reimbursement policies, it’s critical that your organization’s coding reflect the most up-to-date guidance. We can support your efforts with a combination of audits and education.
  • 3M can help ensure that your coding for COVID-19 diagnosis and treatment aligns with the most recent coding guidelines.
  • We can perform coding reviews for inpatient and outpatient facilities and physician practices in support of your acquisition due diligence.
  • Our 3M consultants understand HCCs inside and out. We can implement a program to assist your organization in reporting accurate diagnoses that reflect patient risk.

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Blogs and podcasts for compliance and audit services

Explore expert insights and discoveries at the intersection of data science and health care.

  • A smart mix of audit types to maintain coding quality

    In this blog post, Kristine Daynes describes how a balanced mix of coding audit types can address both payer compliance and operational improvements that benefit efficiency and revenue.

  • RAC compliance audits redux?

    Compliance activities took a bit of a “back seat” the last few years. But with the current administration’s expansion of subsidies under the Affordable Care Act, it is likely that greater government engagement in health care includes increased compliance audits to make certain everyone is playing fair.

Take the next step on your journey

Let's see how we can work together to optimize your organization today!
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