Inpatient Coding Review

HCCS provides an inpatient coding review service to client hospitals which is designed to provide valuable information on the quality of both medical coding and documentation being produced at your facility. This service is also designed to provide the basis for a strategy that can put lost and unrealized revenues back into the hands of your institution. The cost of this coding review is nominal, designed to cover expenses, and will normally pay for itself within a matter of days based on the information received.

The scope of the audit includes:

• Analysis of diagnosis coding to the highest level of specificity
• Analysis of principal diagnosis assignment
• Analysis of secondary diagnosis assignment
• Analysis of coded procedures
• Analysis of Discharge Disposition code
• Analysis of ICD-9 code sequence
• Analysis of DRG assignment
• Analysis of chart documentation

Based on the audit results, information is presented to provide:

• Overall coding accuracy rate, with recommended changes
• Principal diagnosis coding accuracy rate, with recommended changes
• Secondary diagnosis coding accuracy rate, with recommended changes
• Procedure coding accuracy rate, with recommended changes
• Discharge Disposition coding accuracy rate, with Recommended changes
• DRG accuracy rate, with recommended changes
• Reimbursement change detail
• Documentation issues identified and detailed