What We Do
Uncover real growth in the medical coding world
Medical Audits
Not all audits are equal. Random sample audits and comprehensive audits represent entirely different approaches, goals, and outcomes. Even more challenging is sorting through the industry jargon to figure out what a vendor is offering in this industry.
We deliver a custom and comprehensive auditing process that is transparent to our clients. One audit scope cannot cover every possible goal that an employer could have, so we are open and honest with our clients about different audit approaches and how best to structure a claims audit to meets their specific needs. Unlike vendors who only offer one approach or who disparage different audit scopes or pricing arrangements, Inspire Code Consulting, LLC can easily explain the pros and cons of various choices based on our experience of conducting them ourselves. We have a flexible approach that allows us to work with our clients in the most effective manner, and we do not pressure clients with a false sense of urgency. Our scope of work allows our clients to receive top value with a direct return on their investment.
We deliver a custom and comprehensive auditing process that is transparent to our clients. One audit scope cannot cover every possible goal that an employer could have, so we are open and honest with our clients about different audit approaches and how best to structure a claims audit to meets their specific needs. Unlike vendors who only offer one approach or who disparage different audit scopes or pricing arrangements, Inspire Code Consulting, LLC can easily explain the pros and cons of various choices based on our experience of conducting them ourselves. We have a flexible approach that allows us to work with our clients in the most effective manner, and we do not pressure clients with a false sense of urgency. Our scope of work allows our clients to receive top value with a direct return on their investment.
Audits
Average Audit Sample
Specialty Audits
Focused Audits
Maximize Revenue by minimizing claim denials
Outpatient
Risk Adjustment
Auditing Consultant
The Ambulatory Payment Classification (APC) prospective payment system is a system design to define and explain the amount and type of resources used during a single outpatient visit. APCs are defined solely on the CPT procedure codes. In arriving at a final payment amount for each visit, the system packages certain predefined services performed during the same visit. These services include those that do not require significant added time and resources or that are routinely performed with certain diagnoses and/or procedures, such as x-rays and casting a fracture. APCs are used to determine outpatient hospital reimbursement.
Our audit services validate the CPT procedure codes and other factors for payment accuracy.
Discovery Call
Overall medical coding world-Medical Billing vs Medical Coding,Medical Coding schools,Medical Coding jobs,Advancing your Medical Coding Career,Q&A
1 hour
$100.00