Using state-of-the-art software, our consultants analyze and evaluate physician trends for admissions, physician E/M coding frequency, billing and payment comparisons, ICD-9-CM, HCPCS and CPT-4 coding trends, MS-DRG category distributions, coded MS-DRG vs. paid MS-DRG report analysis, and identify duplicate invoices, purchase orders and credits. We submit the results along with our recommendations for improving your compliance and control environment. We can identify and evaluate your organization's compliance with rules and regulations as well as organizational risks, safeguarding assets, and identifying areas for improvement in internal controls.

Identify data to be analyzed at an introductory meeting

• Billing & payment discrepancies.
• Accounting.
• MS-DRG versus paid MS-DRG Report.
• Medical record data.
• ICD-9-CM, CPT-4, & HCPCS coding.
• Physician E & M coding frequency.
• MS-DRG category distributions

Submit the CD with data to our consultant

Analysis results will be able to identify and evaluate:

• An organizations compliance with rules & regulations.
• Organizational risks.
• Safeguarding assets.

Recommendations

• To improve compliance and control environment.
• Identify educational needs and offer solutions through our services.

Follow up

• Repeat the same analysis six months later with new data to identify any trends, compliments of Documentation Solutions, LLC.