Atom Audit – Professional Fee
Professional Fee Medical Coding Audit Tool
Atom Audit is a practical tool for managing audit workflows in professional fee settings. It tracks audit projects efficiently and ensures accurate monitoring of coding practices. This tool helps identify where your audits are progressing well and where they need improvement. It generates clear, straightforward reports that help you understand critical aspects like billing accuracy, staff performance, and financial implications. By integrating Atom Audit into your process, you can simplify your audit tasks, spend less time on manual work, and enhance the accuracy and effectiveness of your coding and billing. This approach not only keeps you compliant but also supports the financial stability of your organization.
Within Atom Audit, you have the capability to run customized queries, enabling you to filter and analyze a wide range of profee data, including but not limited to the following:
- # of CPT Codes
- # of Dx Codes
- # of EM Codes
- # Findings
- Code Type
- Coder Agrees
- Date of Service
- Medical Record Number
- Patient Account Number
- Patient Name
- Payor Detail
- Place of Service
- Project Status
- Project Tags
- Reasons 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
Comprehensive Solution for Provider Groups
Our tool is a comprehensive solution equipped with essential features designed to elevate accuracy, compliance, and financial stability. We ensure precise billing and reimbursement through accurate APC code assignment. Our system accommodates diverse patient types and care scenarios, offering support for comprehensive auditing and coding. Gain valuable insights into the financial implications of your coding decisions through our Reimbursement Impact analysis. With precise validation of ICD-10-CM codes, we guarantee the accurate representation of diagnoses and conditions. For those opting for ICD-10-PCS, our tool ensures flawless procedure coding accuracy. CPT code verification ensures precise billing for an array of medical procedures and services, while accurate coding of EM services is paramount for provider-patient interactions and billing accuracy. Elevate your professional fee coding accuracy and compliance with our comprehensive profee medical coding audit solution.
1995 / 1997 and 2023 EM Leveling Tool
Provides EM leveling based on the 1995, 1997, and 2023 documentation guidelines, ensuring accurate and compliant coding of Evaluation and Management services.
Physician Fee Schedules
Incorporates physician fee schedules, facilitating precise billing and reimbursement calculations for medical services.
Validates the correct application of ICD-10 CM codes for diagnoses, ensuring accurate representation of patient conditions.
Verifies the appropriate use of CPT codes, essential for coding and billing of medical procedures and services.
EM (Evaluation and Management)
Validates the coding of EM services, crucial for describing healthcare provider-patient interactions and billing for patient visits.
Checks the proper use of modifiers, enhancing coding accuracy and helping to differentiate specific circumstances in medical billing and coding.
Who We Are
Frequently Asked Questions
Why is a medical coding audit tool important for Profee Settings?
A medical coding audit tool is crucial for ensuring accuracy, compliance, and optimization of billing processes in Profee Settings. It helps in identifying coding errors, undercoding, overcoding, and billing discrepancies that can lead to revenue loss, compliance issues, and penalties from regulatory bodies.
What should be considered when implementing a medical coding audit tool in Profee Settings?
Key considerations include:
- Compatibility with current systems (EHR, billing software).
- Scalability to handle the volume and complexity of coding in the organization.
- Usability to ensure ease of use for coders and auditors.
- Cost-effectiveness to ensure the benefits outweigh the investment.
- Support and Training to maximize the tool’s effectiveness and ensure staff can use it effectively.
- Security to protect sensitive patient data in compliance with regulations like HIPAA.
Implementing Atom Audit in Profee Settings is a strategic decision that can significantly enhance coding accuracy, compliance, and financial performance while reducing the risk of errors and non-compliance penalties.