MEDICAL CODING AUDITS

Chicago

At DhanInfo, we work alongside you to increase the accuracy of your claim by shrinking your revenue cycle time and dollars. We also engage your coders in an educational session to identify risk prone areas and improve coder accuracy.

Our Audit team identifies non-adherence to coding guidelines, fraudulent claims and protects providers from Recovery Audit Contractor (RAC) or Zone Program Integrity Contractor (ZPIC) auditors and increased scrutiny from OIG. We manage areas of potential risk to ensure compliance and recommend corrective measures to mitigate risk of possible penalties or overpayments.

Denials significantly impacts provider revenue stream and audits are a necessity, though costly. Frequent denials increase OIG audit risk and post 2016; payers will lift the buffer that providers enjoy for unspecified codes. This necessitates an audit partner to manage your denials.

At DhanInfo, we work alongside you to increase the accuracy of your claim by shrinking your revenue cycle time and dollars. We also engage your coders in an educational session to identify risk prone areas and improve coder accuracy.

At DhanInfo, we work alongside you to increase the accuracy of your
claim by shrinking your revenue cycle time and dollars.