Amphion Medical Solutions
Amphion Medical Solutions

Continuous Coding Quality Monitoring for RAC

Amphion's Continuous Coding Quality Monitoring (CCQM) services offer year-round coding review eliminating the need for expensive periodic onsite audits and outdated reports. Get same-day feedback with monthly reports focused on your facility's high risk areas.

CCQM for RAC addresses correct DRG coding assignments before billing occurs to preserve your reimbursement dollars. Customized to your needs, CCQM also offers ongoing assistance to your coding staff with coder education, skill evaluation and a coding hotline. At Amphion we place emphasis on education with the goal of preserving your reimbursement dollars.

CCQM can be customized to:

  • Cover RAC focused DRGs
  • Create appeal letters for RAC denials based on coding/MS-DRG assignment
  • Include data mining of your Medicare discharges to identify and quantify financial risk for RAC approved issues
  • Monitor your inpatient admissions, ambulatory surgery cases or outpatient services
  • Monitor physician coding for ER services and clinic visits

CCQM Benefits Include:

  • Same day feedback to your coders on each case review
  • Monthly summary reports of coding review findings (when a minimum of 20 cases have been reviewed)
  • Assignment of proper codes prior to dropping the bill with no negative impact on days in accounts receivable
  • Benefit of Amphion’s credentialed, US-based employees

Be confident your coding assignments are compliant with Federal regulations and preserve your reimbursement dollars by contacting Amphion today to take advantage of our CCQM services.

Call for more information:
1.888.830.2644
ampupmrktg@amphionmedical.com

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