We understand how imperative it is for hospitals and health systems to maintain accurate code assignments to optimize reimbursements that accurately reflect quality services and minimize regulatory and compliance liabilities. DataSpeaks provides comprehensive auditing services to support hospitals and health systems focused on inpatient, outpatient, and pro-fee coding for ICD-10-PCS, CPT-4 and HCPCS code sets.
Ongoing quality audits help our clients better understand the return on investment (ROI) and accuracy of each individual coder on their team as well as their investment in external contract coding resources. In addition to monitoring and improving the accuracy of coders, DataSpeaks identifies clinical documentation improvement (CDI) opportunities to make sure physicians are providing accurate and complete documentation resulting in decreased queries, and accurate and specified code assignment.
The frequency of audits can be tailored to meet the specific needs of each individual hospital or health system. Services can be availed per clients’ needs bi-annually, quarterly, or other desired parameters depending on the interest and goals. Support can be provided on all chart types, specific chart types, specific coders, high alert cases (RAC, OIG, etc.), or other focused areas (MS-DRG, ROM, SOI, APR DRG, APC, POA, etc.). DataSpeaks can accommodate your preferred sample sizes or provide the recommended sample sizes for different charts types and/or code sets to be audited.