To help your organization achieve the highest quality healthcare outcomes, LexiCode offers comprehensive support and partnership across various areas of Health Information Management and the Revenue Cycle, including coding, auditing, documentation integrity, interim management, and operational efficiency.

Leveraging in-depth data analysis and modeling, our experienced team of credentialed coding consultants and nurse consultants will support your organization’s mission by offering a wide range of consulting services.

Coding Compliance and Reimbursement Audits

Value of Audits

  • Identify underpayment/overpayments
  • Ensure compliance/minimize risk
  • Identify root causes of coding issues for preventive action
  • Coder feedback is reviewed and discussed prior to finalization
  • Coder/provider education session with each audit, with AHIMA CE hours
  • Robust recommendations for improvement, with ability to execute and implement
  • Internal quality assurance ensures second level review of recommendations
  • Collaborative approach to achieve positive results
  • Concurrent/pre-bill or retrospective
  • Detailed trend reporting and analytics

Types of Audits

  • Coder accuracy reviews, providing immediate feedback and education to coders
  • 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/Hospice
    • Ambulatory Surgical Centers
    • Urgent Care Facilities

Risk Adjustment / HCC Suite of Services

  • Combines data analytics and modeling with clinical documentation improvement and coding expertise
  • Achieve accurate and optimal RAF scores and member reimbursement

Education

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
  • Customized, targeted content development

Provider Education

  • Focus on documentation best practices
  • Diagnosis coding for risk adjustment
  • Evaluation & Management fundamentals
  • Understanding the query process