Compliance Audits

Medical Coding Compliance Audits

With increased scrutiny on the revenue cycle along with the introduction of ICD-10, it’s more important than ever to stay on top of coding and billing. Denials, RAC take backs, abuse, fraud, and waste can drain thousands, if not millions of dollars, from healthcare organizations. For these reasons and more, it’s extremely important to have reliable coding compliance audits.

AHIMA recommends at least one external coding audit per year to support code accuracy and revenue integrity. Quarterly audits drive even greater improvements and lead to more consistent coding results.

Coding compliance is the key to revenue success. With a solid understanding of ICD-10, CPT, and HCPCS Level I, MRA provides customized compliance audits to ensure integrity of coded data. The result? Reduced risk for fraud and abuse, and greater cost-savings for your organization.

How a Compliance Audit Helps

Expert coding compliance auditing prevents losses and helps healthcare organizations recover revenue. Our seasoned compliance auditors help identify lost or missed revenue, inaccurate medical coding, and insufficient documentation for ICD-10.

  • Minimize overall compliance risk with services such as MS-DRG, APC, and APR-DRG validation reviews.
  • Ensure your ICD-10 coding is validated and in full compliance with expert coding audits from MRA.
  • Confirm your physician documentation and medical coding are in full sync with Medicare and Medicaid coding, billing and documentation requirements.

We offer targeted audits including POA, discharge disposition, modifiers and E&M code assignment as well as customized reviews to help pinpoint the greatest pain areas.

Comprehensive Auditing Service

You receive a comprehensive final report containing improvement recommendations to reduce the need for future deep audit procedures. MRA also offers assistance in implementing auditor recommendations with suggestions for further education measures to improve clinical documentation and quality control.

" MRA's coding education is done very well and brings lots of value. "

- HIM Director, South Shore Hospital



Contact MRA to learn how we can put our thirty years of experience in compliance auditing to work for you.

Request a Consultation