Outpatient Coding Reviews

Outpatient Coding Reviews

Our coding specialists will validate the CPT©/HCPCS and ICD-9-CM/ICD-10-CM diagnosis coding assignment for outpatient services. The medical record documentation is reviewed against the hospital final billed claim to confirm reporting accuracy. The review will include an assessment of documentation quality for supporting medical necessity. Supporting medical record documentation including the physician order, physician progress notes, results for diagnostic tests/studies, and/or procedural documentation is reviewed for completeness.