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Doctor Diagnosis

Productive Audit Measures

An audit process should be productive in nature rather than a drain on time and resources.  At CRS we are one step ahead of the game with our interactive audit features which involve team members and empower them to make decisions.

How Productive Audit Works:

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We lead a comprehensive and strategic approach in performing our medical coding audits.  We provide effective revenue cycle results with a focus on analysis, process improvement, and education.  Our auditing results are measurable, sustainable and advanced process improvement goals for healthcare organizations.  CRS customized Productive Audit Measures include the following:

  • Clinical Coding Chart Reviews: Inpatient, Outpatient Surgery, Observation, Interventional Radiology, Ancillary, Clinics

  • Emergency Department: Academic, Trauma Level I-V, Critical Access

  • Skilled Nursing Facility, Inpatient Rehabilitation Facility, Behavioral Health, and more

  • Medicare Severity-Diagnosis Related Group/All Patient Refined Diagnosis Related Group Validation

  • Evaluation and Management Validation

  • Clinical Documentation Improvement

  • Data Abstracting Reviews

  • Risk Adjustment Data Validation
    (RADV)/Hierarchical Condition Coding (HCC)

  • Charge Validation

  • Due Diligence Reviews

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