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SERVICES

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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LexiCode provides Coding Services to help your organization stay on top of your medical coding needs.

Staffing shortages, inaccurate coding, or lack of up-to-date training can cost healthcare providers millions of dollars annually.

LexiCode is available to assist in the following settings:

  • Hospital Inpatient and Outpatient
  • Emergency Department
  • Ambulatory Surgery
  • Outpatient/Ancillary Care/Clinics
  • Urgent Care
  • Physician Office and Clinics
  • Ambulance Services
  • Labs
  • Home Health
  • Behavioral Health
  • Skilled Nursing/Rehab
  • Payers

Our coders provide temporary, long term or 'as needed' coding support for all record types and payment methodologies. We offer flexible solutions tailored to fit your needs, featuring:

  • AHIMA, AAPC and CAC Credentialed Onshore and Offshore Coders
  • HIPAA Compliant Facilities
  • Direct contact with management team to establish operational expectations
  • Policies and expectations defined prior to engagement, specific to your facility
  • Extensive management support structure to assist with facility specific coding compliance
  • Flexible staffing schedules
  • Monthly audit reports provided through the LexiCode Audit Database (LAD)
  • Coder Activity Monitoring (CAM)
  • Agreed upon turnaround times
  • Free quarterly education for your staff
  • Competitive fee structure
  • Corporate Compliance Program
  • Quality Assurance Program
  • IT Support
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