Outpatient Coding validation reviews
for emergency medical services, ambulatory surgery, clinic, laboratory,
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:
HIM coding summaries are compared with the 1500 and/or UB92 to ensure all the codes have been captured to ensure accurate reimbursement.
| Copyright 2005
Case Mix Analysis, Inc.