Atom Audit – Outpatient
Outpatient 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 outpatient data, including but not limited to the following:
- Code Type
- Coder Agrees
- Date of Service
- Medical Record Number
- Patient Account Number
- Payor Detail
- Project Status
- Project Tags
- Reason For Change
- 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:
- Patient Type
- Service Line
- APC Reason
- Service Line
Comprehensive Solution for Outpatient Medical Facilities
Our tool boasts a robust set of features dedicated to ensuring the accuracy, compliance, and financial stability of outpatient coding. It meticulously identifies and validates DRG codes, aligning them with the patient's diagnosis and treatment, while also detecting and flagging any discrepancies or potential coding issues. With a focus on patient safety and care quality, the tool evaluates coded data against PSI and QM criteria, pinpointing areas for improvement in healthcare quality. Gain valuable insights into the financial impact of coding decisions through our Reimbursement Impact analysis. We validate ICD-10 CM & POAs to ensure diagnoses and conditions are accurately documented and apply consistent coding for inpatient procedures using the ICD-10 PCS system. Additionally, our tool accurately assigns point of origin codes, vital for patient flow tracking, and validates patient status codes throughout the patient's journey, ensuring precise billing and care progression tracking. Elevate your outpatient coding accuracy and compliance with our comprehensive medical coding audit solution.
APC (Ambulatory Payment Classification)
Ensures accurate assignment of APC codes, which are vital for outpatient billing and reimbursement
Multiple Patient Types
Supports auditing and coding for various patient types, accommodating different care settings and scenarios.
Analyzes the financial implications of coded data, helping healthcare providers understand how coding decisions affect reimbursement.
ICD-10-CM & ICD-10-PCS
Validates the accurate application of ICD-10 CM codes for diagnoses and conditions, and if included, ensures proper usage of ICD-10 PCS codes for procedures, enhancing overall coding accuracy.
CPT (Current Procedural Terminology)
Verifies the appropriate use of CPT codes, which are essential for billing and coding of medical procedures and services.
EM (Evaluation and Management)
Validates the coding of EM services, which are crucial for describing healthcare provider-patient interactions and billing.
Who We Are
Frequently Asked Questions
How can a coding audit tool improve the efficiency of an outpatient clinic?
By automating the review process, the tool quickly identifies coding errors or inconsistencies, reducing the time and effort required for manual audits. This leads to faster billing cycles and improved overall operational efficiency.
What is the cost-benefit of implementing a coding audit tool in an outpatient clinic?
While there is an upfront cost, the long-term benefits include reduced errors, enhanced compliance, improved reimbursement rates, and greater overall operational efficiency.
Can the tool help in identifying areas for staff training and development?
Yes, by highlighting common coding errors and trends, the tool can indicate areas where staff may need additional training or resources.