5 Reasons Why our Auditing Services are Important to the Medical Healthcare Field

Medical auditing refers to the act of conducting reviews on the policies and procedures of health organizations as well as coding accuracy. These reviews are both internal and external and to ensure the organization is within compliance.

Auditing is usually performed by a third-party consulting firm such as IdeaCentre HIM Solutions and can be performed retrospectively or prospectively. Moreover, the auditor will review the medical records thoroughly for an organization and make comparison with previous results to reflect in reports.

Benefits of IdeaCentre Auditing Services

When a fault, risk, or inactive control is identified in the system, steps should be taken to repair the problem; this is where an IdeaCentre auditor comes in. Auditing is a continuous form of risk assessment used to determine the condition of the organizational system, measure its faults and shortcomings, and provide a solution which will improve the quality.

Our auditing helps to assist medical practices and healthcare organizations in various ways some include:

1. Helping to Identify Inaccurate Coding

One importance of medical auditing is that it helps an organization to identify and discover any faults in its system. Therefore, our job as an auditor is to be capable of reviewing ICD-10-CM /PCS, CPT codes, POA,HAC, PSI, discharge disposition to ensure appropriate assignment of MS-DRG or APR-DRG.

2. Helping to Optimize Reimbursement

Another reason why it is necessary for medical practices to conduct audits regularly is that it is essential to optimize reimbursement. On such occasions, the organization can hire the services of our auditors to investigate and report their findings while offering quality advice on the solution to the problem.

3. It Is Used to Protect Medical Practices Against Fraudulent Claims

Auditing also helps to monitor the flow of money within the organization. Our auditors have the ability to assess the system’s coding and correct any problems that may be challenged by higher authorities. This will, in turn, prevent further investigation from government auditors.

4. It Also Helps to Prevent the Use of Outdated and Incorrect Codes for Procedures

Our auditors are also skilled in compliance. As HIM professionals, IdeaCentre understands that internal and external reviews are the key to ensuring the proper and adequate running of a health system. Outdated and incorrect codes can pose a problem when it comes to storing or analyzing medical information and patient health records. This makes it necessary for health organizations to hire the services of a competent auditor and compliance professional.

5. We Help to Determine the Active and Inactive System Controls

Without conducting an audit, it will be impossible for an organization or medical practice to monitor the system controls in order to identify those that work and those which don’t. IdeaCentre auditors will also enable the organization to know if it conforms with the rules and guidelines put in place by the government.

Conclusion

The importance of auditing in the medical field cannot be overemphasized. Although such a proactive approach can be beneficial in various ways, it can equally be daunting and exhausting. As a result, hiring a consulting firm like IdeaCentre HIM Solutions will relive this pressure because we aim to serve the needs of your organization by receiving quality coding and auditing solutions from our qualified and reliable professionals.