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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.
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