Our
Inpatient Medical Records Review focuses
on compliance with all Government regulations,
and includes accuracy and reimbursement
issues as well. This Review encompasses
ICD-9-CM codes Diagnosis and Procedure
codes, Complications and Comorbidities
(CCs), POA indicators, and DRG/MS-DRG assignments. During
the project, we will also review UB-04s
in order to validate the accuracy of
billing claims. While conducting the
on-site Review, we will evaluate the
level and completeness of the documentation,
and provide an educational session
for your staff and/or physicians; CE
credits may be awarded by their professional
organizations for attending. A resolution
session will be held at the end of
the on-site project, where all of our
findings, errors, and discrepancies
will be discussed, and our initial
recommendations will be made. A comprehensive,
written report will be submitted in
a timely manner. A few of the key items in our specialized
Inpatient Reviews are:
- Focus on Compliance
- ICD-9-CM Code Verification
- DRG & MS-DRG Validation
- Complications and Comorbidities (CCs & MCCs) Verification
- POA (Present On Admission) Validation
- Discharge Disposition Validation
|
