Coding Compliance Audits

Periodic third-party coding audits can help you identify and correct deficiencies in your coding processes – revealing missed revenue opportunities or protecting you from a negative payer audit.

For more than 15 years, we’ve been conducting thorough, objective audits for emergency departments around the country. We know not only what problems to look for, but also how to help you remedy them efficiently.

How does it work?

Our specialist auditor will review your documentation and compare E&M codes to those originally assigned to the chart. Data from the evaluation is extrapolated (similar to a Medicare audit) to help you quantify lost revenue on under-billed claims or potential liability from upcoded charts.

Actionable advice

Our final report includes chart-by-chart breakdowns of coding strengths and weaknesses plus holistic recommendations to correct problems. At your request, we can also review superbills, chargemasters and other documentation that may be compromising coding accuracy.

Your audit will:

  • Assess the accuracy of E&M code selection based on available documentation in the ED record.
  • Identify strengths and weaknesses in physician documentation
  • Ensure procedure codes are supported in the ED record
  • Identify overcoding and undercoding issues
  • Ensure regulatory compliance
  • Minimize your risk for fraud/abuse allegations
  • Identify education needs for your coders and physicians
  • Recommend form updates or improvements
  • Compare your E&M utilization to national and regional averages

 

Learn more about our other services

ED Physician Coding

ED Coding and Documentation Education

 

An on-line search tool with expert tips for professional coders who work in emergency medicine.

  • Faster code searches
  • Costs less than a set of coding books, with more information
  • Codes always up to date
  • CPT, ICD-9-CM, HCPCS, PQRS codes
  • Medicare fees for every state
  • Expert coding tips from ERcoder, Inc.

Learn More!


"The turnaround time is excellent and all reports are easy to read. If I question anything, ERcoder provides me with resource material to support their findings."