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Compliance and revenue audits

Mitigate Risk, Increase Accuracy, Improve Quality Scores

Achieve higher quality outcomes and an attainable ROI with ongoing and strategic audits and reviews of your operation.

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Coding Audits

Reviews diagnosis and procedure codes submitted on claims to validate accuracy

Provides third-party report on coder performance

Addresses need to complete risk-based compliance audits

Inpatient and Outpatient CDI Audit

Reviews inpatient and outpatient health records

Identifies opportunities and makes recommendations for improvements

Provides training and education to staff

HCC Coding Audits

Reviews patient health records to identify HCC opportunities based on coding gaps

Makes recommendations for improving HCC capture based on the audit results

Specialty Audits

Forensic Audit - identifies areas of revenue loss

Catastrophic Reviews

CDI Reputational Audit

Pre-Bill Second Level Reviews

Thought Leader Profile

MARY STANFILL
VICE PRESIDENT OF CONSULTING SERVICES

Mary is the official representative of the IFHIMA to the WHO Family of International Classifications Education and Implementation (EIC) and Morbidity Reference Group (MbRG) workgroups. She has over 35 years of experience in the health information profession including serving as a Vice President at the American Health Information Management Association (AHIMA) for several years. She holds a master’s in biomedical informatics and is currently pursuing a doctorate in health informatics.