AUDIT SERVICES: FACILITY AND PROFESSIONAL FEE

create a specialized plan

Facility and Professional Fee Auditing Services

QUALITY & ACCURACY


The importance of accurate and complete coding cannot be overstated. Accurate and complete coding drives correct reimbursement, comparison studies, marketing, research, managed care contract negotiations, and so much more.

Each organization should have a specialized coding quality validation plan in place based on their unique challenges and individual goals. Excite will partner with you to create a tailored, goal driven coding quality validation plan that takes advantage of the various benefits received from a variety of different audit approaches.

 

THE EXCITE HEALTH PARTNERS EXPERIENCE

Highly qualified, experienced, pre-screened and tested AHIMA and/or AAPC certified auditors based in the US.
A Client Service Executive that supports the partnership and assures defined expectations and goals are met.
Quality scorecards identifying key performance indicators with recommendations driving improvement initiatives.
Detailed and engaging coding education sessions offered to drive overall quality improvement efforts.
Specialized coding quality validation plans based on unique challenges and individual goals.
Audit results that identify current areas of coding quality weaknesses, documentation issues, educational opportunities, with root cause analysis.
We focus on measuring coding compliance while highlighting educational opportunities for medical coders and CDI specialists.

secure communication

CLOUD-BASED AUDITING TOOL


Excite utilizes a cloud-based auditing tool that offers a secure auditor-to-coder and coder-to-auditor communication process, avoiding the emailing of secure Excel files with HIPAA content and supporting a smoother, faster, and easier communication process.

here's what we offer

We can support your needs


  • Inpatient MS and APR DRG
  • Outpatient all service types
  • Injection and infusions
  • Facility E/M
  • Professional fee E/M
  • Professional fee all specialties
  • Attorney Client Privilege
  • Targeted and random

customizable and informative

QUALITY SCORECARD DELIVERABLES


Our reports are customizable and can offer a variety of statistical findings that help drive improvement initiatives. We offer detailed recommendations to support the creation of action plans. We can trend data across numerous audits to identify patterns needing addressed.

 

EXAMPLES OF STATISTICAL DETAIL OFFERED

Inpatient

  • MS-DRG and APR-DRG
  • Financial Impact
  • Overall Coding Quality
  • Principal Diagnosis
  • Secondary Diagnosis
  • All Diagnosis
  • ICD-10-PCS
  • POA
  • Discharge Disposition
  • Query Opportunity
  • Data by Coder
  • SOI and ROM

Outpatient

  • APC
  • Financial Impact
  • Overall Coding Quality
  • First Listed Diagnosis
  • Secondary Diagnosis
  • All Diagnosis
  • CPT
  • E/M
  • Injection and Infusion
  • Data by Service Type
  • Data by Coder

hear from our clients

Testimonials


We look forward to partnering with you to develop your tailored coding quality validation plan.