A clinical coding audit can help boost efficiency and produce high quality health data. Coding errors have the potential to produce far-reaching consequences on hospital revenue. Audits can identify where revenue has been lost due to poor coding or documentation practices and help with recouping any losses identified.
Regular external audits on coded data is also a mandatory requirement of many healthcare accreditation programs (e.g. Australian Council on Healthcare Standards (ACHS), International Organisation for Standardisation (ISO)).
Coding Solutions’ auditors have a wealth of experience in coding audits and can provide an on-site audit service to public and private healthcare providers.
We can develop an audit program specifically for your organisation. Some of our focus areas include coding quality, coder specific, diagnosis related groups (DRG), Medicare Benefit Schedule (MBS) item number mismatches and activity based funding.
AN AUDIT WILL BENEFIT YOUR ORGANISATION BY IDENTIFYING:
- Clinical coding errors and admission data discrepancies
- Incorrect DRG assignment
- Poor documentation
- Coder training requirements