CODING AUDIT

Our certified and experienced coding audit team can help providers to implement coding protocols and prevent down-coding/up-coding, procedure inclusive denials, inappropriate modifier usage, missing appropriate modifiers, incorrect CPT/HCPCS/ICD-10 code selection, medical necessity denials, improper documentation. Sigma Healthcare Solutions can greatly improve your coding accuracy and drive better revenue integrity to ensure you’re properly reimbursed and compliant.

Our team of experts identify vulnerabilities and opportunities for documentation education through data analysis, medical record reviews and CDI process assessment. The outcome of our documentation training is increase in your revenue, value-based quality outcomes and process improvement. A consistent review ensures that your Providers are documenting clear, concise notes that support the service billed to the carrier.

Our denial management experts can review and categorize your denials. Our coding auditors will identify the coding related issues and carrier requirements which may have negative impact on your cash flow. We will give you a report with long term solution to improve your coding accuracy and receive the actual reimbursement