Clinical Documentation Compliance Audits
CORE OBJECTIVE has CERTIFIED experts who can perform clinical documentation compliance audits for your practice. Our services in clinical documentation and coding audits can improve your facility’s performance and help you achieve the following goals:
Improve overall coding
accuracy
Improve clinical
documentation
Improve capture of
patient acuity levels
Increase reimbursement
Reduce compliance risk
from RAC, MIC and MAC
Reduce risks from incomplete or
unclear documentation
Careful planning for your internal audit is the first step to success. Best practice is to hire the services of an external clinical documentation and coding auditing firm that provides highly-qualified coding auditors and CDI professionals to ensure you receive the best possible service.
Your search for such a firm ends with CORE OBJECTIVE SOLUTIONS.
Our team members have undergone a stringent screening process to verify their skill level, education, experience, and level of professionalism. Our auditors have vast experience and are certified RHIA, RHIT, CCS, CCS-P, CPC, CPC-H, RN, PA, CDIP, CCDS or combination thereof.
We ensure that your facility goes into the audit with a clear understanding of the reason and purpose for the audit. Our compliance auditors always keep in mind the six goals mentioned earlier should.
Our team of experts ensure the following
when auditing your facility
- In addition to defining the purpose, we guide you in obtaining buy-in from senior leadership as a crucial part of creating an effective audit program. This is especially important if audits reveal unfavorable findings related to physician documentation.
- Your audit is not based purely on financial performance. Conducting a coding audit solely to increase revenue in a particular area could raise a red flag and will probably not yield the anticipated results. We also audit areas of incorrect coding that solely causes decreased revenue, but our all-round approach also helps in finding if the decrease is due to other factors, such as clinical documentation or lower volume of cases.
- When we work with you, we provide guidance on the focus and frequency of your coding audits—whether annual, quarterly, monthly, or concurrently — and help you in identifying risks and driving quality care.
- While providing the overall feedback around our findings, we also let you know that auditing the same areas each year is not beneficial. Areas of risks are moving targets. They may not carry over year to year, quarter to quarter, or even month to month.
