Hospitals and health systems must maintain accurate code assignments to optimize reimbursements, accurately reflecting quality services, regulatory and compliance liabilities. ECLAT Health Solutions offers comprehensive auditing solutions to support Healthcare Providers with medical auditing for Inpatient, Outpatient, and Professional Fee coding.
ECLAT's medical coding audits help you better understand the return on investment (ROI) and accuracy of each individual coder on your team as well as your investment in external contract coding resources. In addition to monitoring and improving the accuracy of coders, our third-party auditing solutions also help identify Clinical Documentation Improvement (CDI) opportunities resulting in decreased Physician Queries for accurate and specified code assignment.
Customizable Frequency & Sample Size
The frequency of audits can be tailored to meet the specific needs of each individual hospital or health system. Solutions can be availed per clients’ needs bi-annually, quarterly, or other desired parameters depending on the interest and goals. Support can be provided on all chart types, specific chart types, specific coders, high alert cases (RAC, OIG, etc.), or other focused areas. ECLAT can accommodate your preferred sample sizes or provide the recommended sample sizes for different charts types and/or code sets to be audited.
Specialties & Expertise
ECLAT provides expert auditing solutions focused on the following areas with the option to pick and choose individually from our many solutions:
ECLAT follows official coding guidelines and references (such as Coding Clinics, CPT-4 Assistant, NCCI, NCD/LCD, OCE and MCE), in addition to Customer-specific guidelines to the extent such guidelines do not contradict official resources. Payer-specific requirements are also taken into consideration.
Additional Focus Options
ECLAT can provide your practice with the following focus options, if requested:
Also, wherever noted and/or requested, ECLAT will document discrepancies with the following:
Audit Findings & Education
Education and training is a critically important part of any audit. Education and training are available to the following team members upon request: CEO, CFO, Controller, HIM Director, Coding Manager, Coding Supervisors, Coders, and Physicians.
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Experience Brilliance with ECLAT
The word “é·clat” means “Brilliance” in French, and we strive to live up to our name by crafting business partnerships that work brilliantly in a symbiotic nature. ECLAT Health Solutions offers flexible and comprehensive solutions for healthcare revenue cycle management services such as Medical Coding, HCC Coding, CDI, and Medical Billing. Contact us to begin your auditing today!