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CMA
offers
Outpatient Coding validation reviews
for emergency medical services, ambulatory surgery, clinic, laboratory,
and
radiology services. Where applicable
CMA will audit both facility and professional coding & billings.
CMA
reviewers
will examine all pertinent parts
of the medical record for accuracy and completeness of information and
validate
the codes assigned in the records. Validations
include review of the clinical record
documentation to
ascertain it supports:
- ICD-9-CM
diagnosis code
- CPT codes
- HCPCS codes
- Evaluation and Management codes
- APC assignments
HIM coding summaries are compared with
the 1500 and/or UB92 to ensure
all the codes have been captured to ensure accurate reimbursement.
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