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Inpatient Coding Reviews

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CMA offers Inpatient Coding validation reviews of medical records to evaluate coding quality and, where necessary, provide the education to improve accuracy and coding expertise.

CMA examines all pertinent parts of the medical record for accuracy and completeness of information to verify and validate
  • ICD-9-CM diagnosis code
  • DRG assignments
  • Principal diagnosis
  • Secondary diagnoses
  • Procedure codes
The record is also compared with the remittance advices to identify any billing errors and validate the accuracy of disposition codes.

At the conclusion of the review, a summary educational conference is held with Health Information Management coding staff and others designated by the hospital to discuss preliminary findings and/or patterns identified. CMA provides continuing education certificates for those attending the conference.

Copyright 2005 Case Mix Analysis, Inc.