Decrease risk while reducing denied claims

Auditing & Compliance

Having an independent, external medical coding audit partner is an essential component of a well-rounded compliance program. Utilizing MRA audit experts will uncover your healthcare organization’s coding and/or documentation deficiencies.

Learn how MRA solutions can help your team | Speak with our team

Our team of expert auditors can help with the variety of projects, assisting with:

I. Medical Coding Audit Services

II. Coding Compliance Audits

III. Reimbursement Audits

IV. Focused Audits

V. Validation

VI. Denial Appeals

VII. Quality Assurance

VIII. Coder and/or Provider Education

IX. Post-audit Education

Empower your coders. Enhance the quality of your medical records.

Ensure compliance with regulatory and accrediting agencies
Identifies reimbursement trends and opportunities
Improves the accuracy of medical records and submitted claims
Serves as an educational resource for your team
MRA Audit feedback enhances the quality of your medical records, which will give your coders and providers more complete and thorough documentation

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We contacted MRA to conduct a coding audit and our experience with the team has been exceptional. MRA team was prompt, timely, and professional throughout the engagement. MRA auditors were highly responsive and the feedback they offer is empowering to our coders. I wouldn’t hesitate to say that MRA comes highly regarded and recommended!”

Denise P., Coding Manager

In today’s constantly changing environment of claim requirements and regulatory modifications, it is more important than ever to have a robust coding and compliance auditing program to identify issues that can create risk and impact your revenue.

The MRA Approach

Experience

100% US Based Coding Audit team with an average of 15+ years’ experience with AHIMA and/or AAPC Certifications. We strive to match specialty-specific auditing experts to ensure any coding or documentation deficiencies are uncovered.

Audit Management

A Dedicated Audit Manager will coordinate the diverse auditing resources your organization needs to ensure audit results are comprehensive and shared in a timely manner.

Client-Specific Audit Approach

All audits will be performed in accordance with a client-specific Coding Questionnaire where your organization’s internal policies and guidelines will be considered to ensure the audit results match your organization’s expectations.

Quality

MRA is dedicated to maintaining high-quality standards, which is why we conduct second-level audit reviews of our internal findings before delivering the final audit results to you.

Data Analytics

MRA will provide meaningful data to assist clients in identifying concerning or high-risk areas of healthcare compliance. The client can use this data to proactively address these potential compliance vulnerabilities.

Audit Reporting and Education

MRA’s education and audit reports uncover opportunities and potential trends, along with customized recommendations for enhanced performance. This enables our clients to improve their coding accuracy and documentation efforts while ensuring appropriate reimbursement and minimizing compliance risk.

For over 35 Years, MRA has been providing superior auditing services to a variety of healthcare facilities of all sizes and types, including:

Decrease risk while reducing denied claims. Maintain compliance with efficient reimbursements. MRA can partner with you to design a customized auditing plan to help you pinpoint opportunities and resolve issues quickly, whenever they arise.

Auditing

4 Charge Capture Process Approaches & Reasons for Inaccuracies

Proper charge capture processes are essential to compliance regulations. An outdated, non-existent, or poorly thought-out charge capture workflow can be devastating to a hospital and

Auditing

The OIG Focus on Clinical Coding

The last 12-18 months has brought the healthcare industry many audit reports from the Office of Inspective General (OIG). These reports are always an important