Our Coding services include but not limited to the following
Medical Coding
Medical Coding Audit
RAC Audit
Clinical Documentation Enhancement
Bill Review
Why CodeMatrix?
We provide an intensive and in-depth analysis of your coding practice. We study the need of following LCD, LMRP and other guidelines which require to be followed for a clean claim with the maximum reimbursement.
We examine the usage of modifiers, tagging of diagnosis against the existing LCD for the given county/State. Documentation on ancillary procedures will be examined against every possible up-coding versus down-coding.
What can you expect?
We will track down the following, backing up with solid proof.
Incorrect / missed ICDs
LCD not followed
Missing / Incorrect modifier
Inconsistent Level of service
Incorrect / missed ancillary services.
PQRS Measures missed
Client /Payer specification missed
Bundling/ unbundling
Up-coding / Down coding
RVU order sequence missed
Clinical Documentation Enhancement
We provide insights to our clients on the need for improvement on the clinical documentation. It is of prime importance that a physician needs to furnish the documentation to its fullest entirety.
There are instances where a clinical document has to be presented with the details of past failed medical intervention and have led to the current treatment option. On failing to do so, the claim ends up in denial.
Some report has to be clinically documented with the support of strong backing up of medical necessity, complexity, and consumption of extra time, effort, skill and expertise to evade bundling or denial issues.