Coding & Auditing for Hospitals

Inpatient

MARSI’s recommended program provides a pre-bill review of coding assigned by the facility for the most appropriate MS-DRG assignment without interruption to the billing cycle.

The pre-bill process eliminates the need for re-submission of these claims, thereby reducing any “red flags” for review by CMS. The review process includes physician queries, physician education and CDI specialist and coding staff training.

• APR-DRGs
• MS-DRGs
• Medical Necessity

MARSI also provides coding quality reviews, specialty reviews, IP rehab reviews, post-bill reviews and facility-specific reviews as requested.

Hospital-based Outpatient Auditing for Compliance and Defensible Revenue

MARSI provides outpatient review for the most appropriate ICD-10, CPT, HCPCS, and/or APC codes.” MARSI’s expertise includes outpatient surgery and interventional radiology.

ED

• Facility acuity levels
• Physician E&M levels (as appropriate)
• Outpatient Surgery & Interventional Radiology
• Injections & Infusion Hierachy

ICD 10 Diagnosis Codes

• Analysis of acuity distribution
• Tools and training for improved acuity level assignment