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Comprehensive Chart Audits for Accurate Coding Results
Discover the benefits of leveraging a best-in-class chart audit service.
Episource specializes in reviewing charts previously coded by other vendors to enhance risk adjustment coding quality and accuracy.
Our goal is to validate proper coding, identify coding without supporting documentation, and ensure that claims are substantiated by clinical data from the medical record. Additionally, we carefully review and capture newly identified codes according to industry guidelines.
With our chart audit services, we offer three distinct levels that adapt to your workflow and provide unparalleled results:
Our best-in-industry risk adjustment coding team performs a blind medical record review, meticulously examining each chart to identify any coding discrepancies or errors.
Our NLP-enhanced chart audit combines the power of manual review with Natural Language Processing (NLP) technology. This innovative approach minimizes the risk of inaccurate codes due to human oversight.
Our Final Check Review service utilizes NLP-assisted chart audits to identify inaccurate codes and overcoding by prior vendors. We carefully examine each chart, comparing it to industry guidelines and leveraging NLP technology to ensure comprehensive and accurate coding.
Our coders review each suspected error to validate funding against CMS and client coding guidelines.
We compare diagnostic information from within the medical record against existing diagnoses received from providers through claims to achieve accurate clinical documentation.
Our NLP engine – trained on millions of charts per year and by our bench of over 8,000 coders – has been meticulously refined to maximize efficiency and accuracy.
All new and unique codes are subject to quality assurance to confirm compliance.
Improve risk adjustment coding accuracy
Optimize reimbursement with the power of a quality review
Streamline workflows with our NLP-powered technology
levels of chart audit services to meet your specific needs
quality assurance for near-perfect coding quality
average improvement in coding quality achieved for clients
I am impressed by the level of preparation and comprehensive analysis; it is far beyond what we are used to receiving from a vendor.
Their solution far and away exceeded what we were being offered by other vendors at the time.
They’ve added in features where we can actually see the campaigns in real time, watch it progress through the dashboards, and get all kinds of great reporting.