Atom Audit – Inpatient
Inpatient Medical Coding Audit Tool
Within Atom Audit, you have the capability to run customized queries, enabling you to filter and analyze a wide range of inpatient data, including but not limited to the following:
- Audit Result
- CDI Staff
- Coder Agrees
- Discharge Date
- Final Outcome
- Medical Record Number
- New DRG
- Patient Status
- Patient Account
- Patient Type
- Payor Detail
- Point of Origin
- Project Status
- Project Tags
- Reason For Change
- Recommended Patient Status
- Recommended Point of Origin
- Record Tags
- Review Date
- Review Status
- Service Line
Create impact with real data
Harness the potential of real data within Atom Audit to drive strategic decision-making that leads to impactful improvements for your organization.
- Determine where education is most needed
- Clinical documentation improvement
- Focus areas for future audit Projects
- Provide meaningful feedback to other departments
- Implement targeted quality improvement initiatives
Metrics designed to tell the whole story
Atom Audit provides custom metrics for a detailed analysis of medical coding and billing, offering insights that paint a complete picture of your operations. It enables a deep dive into coding accuracy and operational effectiveness, highlighting areas of strength and those requiring attention.
Run accuracy reports by:
- CDI Staff
- Reason for Change
- Service Line
Comprehensive Solution for Inpatient Medical Facilities
Our tool offers a range of essential features designed to enhance accuracy, compliance, and financial stability in healthcare coding. With the ability to validate DRG codes, ensuring they accurately represent patient diagnoses and treatments, and the capability to flag potential coding issues, you can trust in precise coding. The tool also evaluates codes against PSI and QM criteria, providing insights into patient safety and care quality improvements. Understanding the financial implications of coding decisions is made easy with our Reimbursement Impact analysis. We validate ICD-10 CM & POAs, ensure accurate ICD-10 PCS coding, and verify point of origin details, essential for patient flow tracking. Finally, we guarantee that patient status codes are accurate throughout the patient's stay, ensuring proper billing and care progression tracking. Elevate your coding accuracy and compliance with our inpatient medical coding audit solution.
DRG (Diagnosis-Related Group)
Accurately identifies and validates DRG codes, ensuring alignment with the patient's diagnosis and treatment while detecting coding discrepancies.
PSI (Patient Safety Indicators) & QMs (Quality Measures)
Evaluates coded data against PSI and QM criteria, assessing patient safety and care quality while pinpointing areas for improvement.
Point of Origin & Patient Status
Accurately assigns point of origin codes reflecting the patient's location before admission and validates patient status codes throughout their hospital stay. This aids in patient flow tracking, responsibility assignment, and ensures accurate billing and care progression tracking.
Analyzes the financial impact of coded data, providing insights into how coding decisions affect reimbursement and financial outcomes.
ICD-10-CM & POAs (Present on Admission)
Validates the accuracy of diagnoses and condition coding, following ICD-10-CM guidelines and applying POA indicators correctly.
ICD-10-PCS (Procedure Coding System)
Ensures the correct and consistent coding of inpatient procedures using the ICD-10-PCS system.
Who We Are
Frequently Asked Questions
Who should use inpatient medical coding audit tools?
Inpatient medical coding audit tools should be used by coding professionals, auditors, compliance officers, and healthcare administrators in inpatient facilities. These tools are also beneficial for medical billing companies that service hospitals and inpatient care centers, ensuring their coding practices meet the latest standards and regulations.
How do medical coding audit tools improve accuracy for inpatient facilities?
Medical coding audit tools enhance accuracy in inpatient facilities by systematically reviewing patient diagnoses and procedures, identifying and rectifying coding errors, ensuring compliance with healthcare regulations, optimizing reimbursement through precise coding, minimizing fraud risk, and providing educational insights to coding staff.
How often should an inpatient medical coding audit be conducted?
The frequency of inpatient medical coding audits can vary based on the facility's size, volume of services, previous audit findings, and regulatory requirements. However, it's generally recommended to conduct these audits at least annually. High-volume or high-risk areas may require more frequent audits, such as semi-annually or quarterly, to ensure ongoing compliance and accuracy in coding practices. Tailoring the audit schedule to the facility's specific needs and risk areas can optimize coding accuracy and compliance.