Health Information Management (HIM) and Medical Record Departments constantly have to adapt to new CPT-4® (copyright AMA 2009), HCPCS and ICD-changes, including the upcoming switch to ICD-10-CM. In addition, there are a multitude of payment systems (e.g., APCs, APGs, APDRGs, MSDRGs, and APR DRGs) which put a strain on already limited department resources.
Most HIM departments have policies and procedures that require periodic external coding reviews by an Independent Review Organization. Whether your review is random or focused / retrospective or prospective, our Epoch team of professional, certified inpatient and outpatient coding professionals are here to support you.
Epoch will review your medical record documentation and coding in accordance with coding and regulatory rules and guidelines and provide documentation to support suggested changes as appropriate. When requested, our consultants will work with you to get to the root cause of identified coding issues (e.g., documentation, education) and help to address the problem. You design the approach that works best for you.