Coding audits, done properly, are a great teaching tool for providers that make them more productive, reduce compliance risks and improve your revenue. What’s missing from the traditional coding audit process is the ability for providers to learn how their coding practices are impacting their performance.
CODING & COMPLIANCE AUDITS
Make a Measurable Impact
Compliant coding reduces compliance risks and improves revenue integrity. How accurate are your providers and how accurate are your coders? What is the financial impact on the practice? Our business intelligence provides answers to these questions and delivers many more insights. Our audits can assess E/M accuracy as well as procedural accuracy. We provide detailed interactive drill-through analytics to providers regarding their coding. Audit analytics are available on providers’ smartphones so they can make practical use of the recommendations while they are coding.
Coders can see their audit findings for the providers they are supporting and learn how to improve their coding accuracy. The coding practices of providers and coders fall on a continuum, and our business intelligence can quantify who needs more help. Coding accuracy rates determine the frequency of audits and comparative claims intelligence identifies the impact of provider behavior change on claims denials and reversals.
Synergy Revenue Integrity constantly monitors the impact of coding practices on the interrelated business functions and alerts your practice to events that impact revenue integrity.
BUSINESS INTELLIGENCE & PROCESS IMPROVEMENT SERVICES
See the Whole Picture, Make Lasting Improvements
The volume of data associated with every claim transaction is simply too great to manage without sophisticated business intelligence. Synergy Revenue Integrity puts analytics in your hands that help identify trends and patterns across all payers. Sophisticated analytics and drill through tools provide unique views and help identify the root causes of revenue integrity problems.
Synergy illustrates the impact of corrective actions and the progress towards quantifiable goals you’ve established. Daily updates show how each process improvement initiative is performing against your goals and ensures that everyone is on the same page.
