Coding & Auditing for Hospitals
Auditing Hospitals for Compliance and Defensible Revenue.
MARSI provides expert inpatient & outpatient auditing and coding services which are innovative, proven and provide real results.
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.
- 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.
- 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
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