On the journey to revenue integrity, coding matters. So much is lost when coding is incorrect or incomplete. Consistent, regularly scheduled coding validation audits measure coder quality and accuracy. And in doing so, they support correct billing and ensure that the right reimbursement is received for each and every patient encounter.
Whether performed internally or by an outside consultant, coding validation audits reap tremendous rewards for the hospitals that conduct them.
However, ensuring effective and informative results from coding audits requires advanced planning and consistent execution by HIM professionals. Targeting efforts, establishing frequency, trending results, and implementing corrective action are all must-do steps for effective coding validation audits.