codingaid - facility & physician coding and compliance capability statements

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COMPLIANCE Capability Statement Your trusted partner in delivering experienced Revenue Cycle solutions CHARGE ACCURACY & COMPLIANCE Minimize your facility’s exposure to errors and consequent loss of revenue in billing. Our team of Registered Nurses have extensive technical and clinical experience in maximizing opportunities for recovery and improvement through: Identification of documentation problems Highlighting areas of vulnerability in charging Taking corrective action CLINICAL DENIAL APPEALS Above the national average, we have an appeal turnover rate of 80%. Our appeals team utilize national standard criteria’s, healthcare law statutes and medical research to challenge Payor denials. It is the breadth of knowledge our specialists draw on to assist healthcare organizations in achieving accurate and appropriate charging and documentation. CODING AUDITS Accurate coding leads to trust in clinical data, which in turn, enhances coding and billing efforts. Performed by ICD-10 certified auditors with more than 10 years of experience, we identify any potential problems with coding accuracy. Our process consists of: Comprehensive reporting Identification of discrepancies Expert analysis Corrective action recommendations NURSE DEFENSE AUDITS We have successfully defended hospitals charges and negotiated discrepancies with all major Payors. On your behalf, we can handle the entire audit process end-to-end. We perform a line-by-line item review of patient records, citing: Hospital protocols Industry standards Medical necessity 11 Golden Shore, Suite 360 Long Beach, CA 90802 (888) 811-7208 www.coding-aid.com Contact Us CODINGAID a division of Managed Resources

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COMPLIANCECapability Statement

Your trusted partner in delivering experienced Revenue Cycle solutions

CHARGE ACCURACY & COMPLIANCEMinimize your facility’s exposure to errors and consequent loss of revenue in billing.

Our team of Registered Nurses have extensive technical and clinical experience in maximizing opportunities for recovery and improvement through:

• Identification of documentation problems • Highlighting areas of vulnerability in

charging

• Taking corrective action

CLINICAL DENIAL APPEALSAbove the national average, we have an appeal turnover rate of 80%.

Our appeals team utilize national standard criteria’s, healthcare law statutes and medical research to challenge Payor denials.

It is the breadth of knowledge our specialists draw on to assist healthcare organizations in achieving accurate and appropriate charging and documentation.

CODING AUDITSAccurate coding leads to trust in clinical data, which in turn, enhances coding and billing efforts.

Performed by ICD-10 certified auditors with more than 10 years of experience, we identify any potential problems with coding accuracy. Our process consists of:• Comprehensive reporting • Identification of discrepancies • Expert analysis• Corrective action recommendations

NURSE DEFENSE AUDITSWe have successfully defended hospitals charges and negotiated discrepancies with all major Payors.

On your behalf, we can handle the entire audit process end-to-end.

We perform a line-by-line item review of patient records, citing:

• Hospital protocols • Industry standards • Medical necessity

11 Golden Shore, Suite 360Long Beach, CA 90802

(888) 811-7208www.coding-aid.com

Contact Us

CODINGAIDa division of Managed Resources

CODING SUPPORTCapability Statement

Your connection to experienced coding professionals across the nation

FACILITY & PHYSICIAN CONTRACT CODINGTap into our national network of coders and drive better coding performance.

Our network of experienced coders, all with AHIMA or AAPC credentials, offer a cost effective solution for both on-site or remote coding.

More than just a qualified coder, we provide:

• Extensive screening and evaluation • Certified coders with a minimum of

5 years experience • Productivity tracking via weekly reporting• Quarterly audits of a minimum 25 charts• Regular performance monitoring

INTERIM MANAGEMENTWe have the talent to provide experienced leadership to meet interim challenges.

Our interim management solutions include:

• HIM Manager or Director• Operations Manager• Coding Manager

DIRECT HIREHigh performance staff is generally buried in excellence and not actively seeking employment.

We have access to top-tier professionals across the following departments:

• Revenue Cycle• Health Information Management• Advisory• Accounting & Finance

• Asset Recovery

60 DAY REPLACEMENT GUARANTEEIf for any reason you are not completely satisfied with our candidate within the first 60 days, we will replace the candidate at no additional fee.

11 Golden Shore, Suite 360Long Beach, CA 90802

(888) 811-7208www.coding-aid.com

Contact Us

CODINGAIDa division of Managed Resources

PHYSICIAN CODINGCapability Statement

Experience you can count on to meet the demands of physician coding

OUTSOURCE CODINGQuality driven and results orientated.

Managed Resources offer cost effective solutions for all specialties including even the most complex coding scenarios. We provide:

• Concurrent Production Coding Services• Specialty Specific Coding• Concurrent Provider Feedback

& Education• Denial & Edit Resolution• Ongoing or Per-Diem Coding

CODING AUDITOur extensive coding capability enables us to manage all internal auditing & monitoring functions as part of your internal compliance program.

We have extensive experience to assist in the development of internal audit & education processes through:

• 1:1 Post Audit Provider Education• Long Term Monitoring & Auditing

Programs• Audit & Monitoring Consulting Services• Short Term or One Time Audits

PROVIDER EDUCATIONA platform to deliver training that is focused on meeting your objectives.

Our training is customized using the audit results or note examples from your providers.

Based on your requirements, training can be delivered onsite or via webinars.

Topics include:

• Evaluation & Management• Surgical & Specialty Coding• Documentation Improvement• ICD-10-CM Diagnosis

11 Golden Shore, Suite 360Long Beach, CA 90802

(888) 811-7208www.coding-aid.com

Contact Us

CODINGAIDa division of Managed Resources

HOME HEALTH CODINGOur Solutions

Your connection to experienced coding professionals across the nation

CODING SUPPORTQuality driven and results orientated.

CodingAID offers experienced coding professionals of all specialties to assist in even the most complex coding scenarios. We provide:

• Certified Coders (AHIMA or AAPC)• Outsourced or Per-Diem Coding• Remote & Onsite Coders• Coding Quality Program

DIRECT HIREHighly experienced staff are generally buried in excellence and not actively seeking new employment.

We have access to top-tier professionals across the following departments and levels:

• Executives• Revenue Cycle • Accounting & Finance• Operations & Administrative • Human Resources

CODING AUDITOur comprehensive coding compliance capabilities enable us to support your auditing & education functions as part of your internal compliance program.

We have extensive experience in the development of internal audit & education processes through:

• Compliance Review• 1:1 Post Audit Review• Education & Training

PROVIDER EDUCATIONA platform to deliver training that is focused on meeting your objectives.

No mater the size or nature of your requirements, our training is customizable to meet your specific needs.

Training can be delivered onsite or via webinars and topics include:• Home Health Coding Compliance• Documentation Improvement• ICD-10-CM Diagnosis

11 Golden Shore, Suite 360Long Beach, CA 90802

(888) 811-7208www.coding-aid.com

Contact Us

CODINGAIDa division of Managed Resources