Inpatient/Outpatient Coding Review

Consulting Services | Revenue Cycle | Inpatient/Outpatient Coding Review

Check your accuracy. Check your compliance.

Accurate and timely billing is crucial to your hospital’s financial health. Getting it right also ensures your organization remains compliant. Are your coders doing all they can for your hospital? Are they the experts they could be? 

Here’s how QHR can help.

Reliable, non-disruptive, cost-effective compliance.

The Office of Inspector General (OIG) model compliance plan requires at least one external coding review annually. QHR can help your hospital meet this requirement with an off-site coding compliance review, which can in turn help keep your costs down and your productivity up.

Our specialists review of 30 patient records randomly selected for each patient type (IP, OP), per coder. We have helped hundreds of hospitals enhance coder skills and meet the OIG model compliance plan for acute care hospitals.

Your report from QHR includes:

  • PPS accuracy rate for your organization
  • Overall coding accuracy rate for your organization
  • Coding and PPS accuracy rate for each coder
  • Follow-up conference call with your HIM director to review data and answer questions

We provide ongoing coder support and mentoring through our Coder Community and Coder Hotline services.

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Beyond the basics.

QHR helps you continually improve your coding, with expert annual (or quarterly) compliance reviews. We do more than check for mistakes. We give your coders the education they need to become experts themselves.