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Compliance and audit services

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Bring a fresh perspective, helping to uncover missed revenue opportunities, protect payments, and relieve overburdened teams with focused insights and solutions.

Coding quality has always been a critical objective of any coding team. The COVID-19 pandemic has made this effort more complex, and more important than ever before. New code sets and guidelines are under development to keep up with the diagnosis and treatment of the disease. Policies and regulations around virtual care have changed as the volume of telehealth visits has skyrocketed. For many, there is confusion and uncertainty on the appropriate coding of these records. Though challenging, getting the documentation and coding right is critical, and we can help.

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What type of coding quality audits do we offer?

Professional coding

Solventum can audit the accuracy and specificity of professional coding, including the documentation to support appropriate E/M leveling. This can be done using a random or targeted sample of cases, and prebill or retrospectively bill, depending on your needs.

Telehealth

With changing regulations and reimbursement policies, it’s critical that your organization’s coding reflect the most up-to-date guidance. We can support your efforts with a combination of audits and education.

Inpatient coding

Your coding quality program should include a mix consistent, retrospective audits, targeted ad hoc audits in response to problematic trends, and random audits to detect unforeseen coding issues. We can help with all of this.

COVID-19

Solventum can help ensure that your coding for COVID-19 diagnosis and treatment aligns with the most recent coding guidelines.

Hierarchical condition category (HCC)

Our Solventum consultants understand HCCs inside and out. We can implement a program to assist your organization in reporting accurate diagnoses that reflect patient risk.