Lexicode

Coding Services Consulting Services

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 and/or AAPC credentialed coders 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,

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

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

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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Coding Services Consulting Services

Lexicode provides Coding Services to help your organization stay on top of your medical coding needs with both onshore and offshore support options.

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