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.
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.