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LexiCode offers a full line of services range from Coding and Auditing Support to Training, Education and Interim Management. We base our success on providing our clients with innovative HIM solutions.

To ensure that your facility is coding accurately LexiCode can assist with in-depth analysis and modeling to determine risks and accuracy in coding as well as help your team implement corrective actions. Our team of seasoned AHIMA-credentialed professionals will support your organization’s mission by providing an extensive portfolio of consulting services.

Compliance and Reimbursement Audits

Value of Compliance and Reimbursement Audits:

  • Identify underpayment/overpayments
  • Ensure compliance/minimize risk
  • Identify root causes of coding issues for preventive action: coder error,

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  • Identify underpayment/overpayments
  • Ensure compliance/minimize risk
  • Identify root causes of coding issues for preventive action: coder error, physician documentation, workflow
  • Coder feedback is reviewed and discussed prior to finalization
  • Flexible scheduling
  • Detailed trend reporting
  • Coder/provider education session with each audit
  • Robust recommendations for improvement
  • Internal quality assurance ensures second level review of recommendations
  • Collaborative approach to achieve positive results
  • Concurrent or retrospective

Types of audits:

  • All DRG Methodologies: MS-DRG, APR-DRG/SOI/ROM
  • Comprehensive Inpatient Coding Audits (all codes and POA indicators validated)
  • Comprehensive Outpatient Coding Audits – all hospital/clinic record types and settings
  • Professional Fee/Physician-Based Audits – Evaluation & Management, Surgical Encounters – all settings
  • Specialty Audits
    • Long Term Acute Care (LTAC)
    • Behavioral Health/IPF-PPS
    • Rehabilitation Audits/UB-04 post discharge IRF-PAI coding:
    • Skilled Nursing Facilities
    • Home Health
    • Surgical Centers
    • Urgent Care Facilities
  • Risk Adjustment Audit: HCC (Hierarchical Condition Category)/RADV Coding Audits

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Education

  • Coder Education
  • Provider Education with focus on documentation best practices

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  • Coder Education
    • Courses for all skill levels: basic to expert
    • Extensive course selection, including annual ICD-10/CPT updates
    • Virtual classroom – all coursework online
    • AHIMA CE hours (AAPC CE hours available upon request)
    • Progress reports and assessments to measure progress
    • Web-based education platform accessible from mobile devices
  • Provider Education with focus on documentation best practices

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Other Consulting Services

  • Interim HIM/Coding Management – short or long term
  • Health Information Management Operational Reviews
  • Denial Reviews and Appeals, RAC & all other payers

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  • Interim HIM/Coding Management – short or long term
  • Health Information Management Operational Reviews
  • Denial Reviews and Appeals, RAC & all other payers
  • Interim CDI Specialists
  • Coding Edit Resolution (Inpatient, Outpatient)
  • Nurse Reviews
  • Customized projects

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