Our Payment Integrity Practice also offers remote and on-site coding and billing audits to review clinical coding and billing to monitor for fraud, abuse, waste and errors. 

The clinical coding and billing audits ensure that:

  • Clinical coding has been completed accurately using ICD-10-AM, ACHI and Australian Coding Standards​
  • DRG allocation is accurate ​
  • All relevant certificates such as ICU/Mechanical Ventilation/SCN/Type B and Type C have been accurately completed and there is supporting documentation within the body of the medical record to support billing​
  • Prostheses have been correctly billed and recorded (including warranty issues)​
  • Billing is supported by the hospital admission policy ​
  • Hospital medical record is complete and accurate

Contact our Head of Customer Experience to find out more.

We’d love to hear from you.