Coding, Compliance & Education
Achieve precise and compliant medical coding practices with QB’s coding, compliance, and education services.
It is commendable that healthcare organizations recognize the significance of accurate and compliant medical coding practices. At QB, we also believe that critically evaluating the effectiveness of current coding compliance plans is essential for long-term success.
First and foremost, it’s important to ensure that the compliance plan is comprehensive enough to address potential coding errors, fraud, and abuse. What specific measures are in place to detect and prevent these issues? How often are audits conducted to evaluate compliance with coding guidelines and regulations? Additionally, your coding compliance plan should align with industry standards. Are you regularly updating your policies and procedures to reflect changes in coding guidelines? Are your coders adequately trained and informed about the latest regulations?
Moreover, minimizing the risk of coding-related issues should extend beyond just compliance with government agencies and third-party payer guidelines. It should also include internal controls and checks within your organization. How are you monitoring internal processes to identify any potential weaknesses or areas of non-compliance?
Medical Coding and Compliance Audits
QB offers a tailored approach to the coding audit and documentation review process. We select records based on your common coding practices after assessing your areas of expertise. Our medical coding specialists provide expert evaluations, presenting official results focused on CPT and ICD guidelines. Our team collaborates one-on-one with providers and their staff to enhance documentation, medical coding, and compliance best practices, aiming to lower claim denial rates and minimize exposure to payer audits.
Our medical coding and compliance audit services include.
- Medical coding audits and record reviews
- Pre-payment and post-payment auditing
- Utilization analysis compared to local and national peers
- Targeted audit selection
- Review of medical record documentation
- Annual support with on-demand research for all your medical coding and healthcare compliance questions, complete with written reports
- Audit review and educational sessions with physicians and staff
Medical Coding Education
Medical coding can be complex, with frequent updates that require ongoing attention. At QB, our coding education specialists understand the importance of auditing and training providers and coding staff on these continual changes. Our team of AAPC-certified medical coding professionals has extensive experience in delivering customized education to address all your medical coding challenges.
We offer the following services to keep you and your team informed about industry developments:
- Documentation and coding training for new providers, coders, and billers
- Review seminars for annual updates on CPT and ICD-10 CM
- Training in ICD-10 CM, CPT, and HCPCS coding
- Compliance seminars
Benefits of QB’s Coding Audit and Compliance Services
Ongoing Assessments
QB emphasizes the importance of continuous evaluation and improvement of coding compliance plans. Regular assessments help identify weaknesses or areas for enhancement. By thoroughly reviewing and refining these plans, providers can ensure accurate coding, minimize errors, and reduce the risk of fraud and abuse.
Education for Providers and Staff
Healthcare providers and staff often face demanding schedules and cumbersome electronic medical records (EMRs) with outdated templates. Our coding audit and compliance service ensures that they receive the education and support necessary. We offer tailored and relevant training designed to be timely, accurate, and to foster a culture of compliance.
Reduce Legal and Financial Risks
Implementing our coding compliance plan enables providers to significantly lower the risk of legal and financial penalties related to coding. Our systematic approach aligns with industry standards, helping healthcare organizations maintain compliance while optimizing revenue generation.