LTPAC Compliance

Supporting Compliance in the New World of Remote and Outsourced Coding & Billing.

Rayellen Kishbach's picture

According to a recent HIM Benchmark Report, HIM department managers equally ranked Coder Productivity, Quality, and Managing Financial Metrics as their biggest challenges, while that same report noted that close to 60% of HIM professionals outsource a portion of their coding needs. Even without direct outsourcing, we notice an increase in the opportunity to do coding and billing work remotely.

Understanding MS-DRG Grouping under ICD-10

Rayellen Kishbach's picture

Now that ICD-10 is in full swing, we are seeing a lot of activity with providers, payers, consultants and regulators who need to understand how Acute Inpatient and Long Term Care Hospital claims "behave" when the claim is coded in ICD-10. This includes both prospective and retrospective review of claims scenarios to understand MS-DRG grouping. This article offers a basic primer on MS-DRG grouping logic, and research techniques for using related MediRegs Coding Suite tools.

Policy Management

Maintaining consistent policies, documentation and compliance procedures, particularly across multiple facilities, locations and across multiple states, is difficult and often done after the fact.

MediRegs Reimbursement Suite

Go beyond basic coding with a mid-level research solution focused on claims processing, coding, payment and revenue.

The MediRegs Reimbursement Suite goes beyond basic coding to include payment calculators, edit-checking tools and everything you need to understand the claims processing system.

MediRegs Compliance Suite

Our mid-level solution, ideal for program reviews, is a robust collection of compliance and reimbursement data and tools.

A robust collection of compliance and reimbursement data in one location, the MediRegs Compliance Suite allows you to conduct targeted searches and leverage powerful tools and calculators. Ideal for compliance program reviews and accreditations, the Compliance Suite was developed specifically for compliance officers, reimbursement analysts, fraud specialists, privacy officers, and auditors.

MediRegs Regulatory Center

Our basic solution is a perfect fit for analysts who need to stay up to date with regulatory change.

Developed for compliance, reimbursement, and risk analysts, as well as other regulatory-based professionals with compliance research needs, the MediRegs Regulatory Center is a simple, cost effective way to keep informed of the latest federal and state regulatory updates and manual changes with quick, high-level searches.

ComplyTrack

Confidently manage risk and drive compliance.

Your bottom line depends on it: the ability to manage risk and maintain an enterprise-wide culture of compliance in the face of constant change.

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