Ensure accurate coding and compliance while optimizing revenue.

Public and private payer audits are on the rise, resulting in lost revenue, heavy fines, and damaged reputations. To protect your organization and its hard-earned revenue, it’s critical to perform code audits with a partner you can trust. By leveraging our auditing team for complete medical coding compliance audits, you can have confidence in the accuracy, quality, and reimbursement of your claims.

Comprehensive medical code auditing solutions Complete coding compliance audits performed by our auditing team, including revenue impact analysis and lost revenue recovery. AGS Health offers medical auditing services for:

• Inpatient
• Outpatient
• Professional
• Value-Based Care audits including mortality and MIPS

Benefits

Higher Operational Efficiency Validate coding accuracy of patient encounters and identify errors and discrepancies in diagnosis codes, procedure codes, and modifiers to ensure documentation consistently reflects services provided.

Enhance Data Quality Significantly improve data quality to ensure compliance and regulatory integrity, provide a rigorous feedback loop, and support follow-up with physicians, coders, or payers.

Optimize Accuracy of Reimbursements Adequate documentation of complications and comorbidities (CCs) and their significant variants (MCCs) prevents underpayments, denials, and appeals to increase billing efficiency and revenue.