Sigma Square Solutions is one of the country’s premier provider of coding , compliance audits and education services. Coding compliance audits are designed to identify deficiencies that may impact revenue and data quality by focusing not only on incorrect coding but also data abstraction errors and gaps in provider documentation.
Our audit team have highly skilled, experienced, CPMA auditors, AHIMA-credentialed auditor-mentors who utilize comprehensive coding review software to offer a variety of detailed, in-depth analytical reports to our clients. Sigma Square Solutions can develop customized educational programs based on our audit results and can also provide supplemental coding and CDI staff to empower clients to meet their financial and data quality goals.
Qualification of coders : CPC, COC, CPC-P, CRC (Risk Adjustment), CCS (AHIMA – Inpatient), CDEO® (Certified Documentation Improvement Expert), CPC – I (AAPC Approved Instructor- PMCC License ), Certified Documentation Improvement Practitioner (CDIP®), AHIMA Approved Clinical Documentation Integrity Trainer
Benefits of audits
¨ Stay compliant
¨ Reduce rejections and denials
¨ Prevent fines and investigations
¨ Accurate reimbursement
¨ Identify revenue leakage
Coding , Compliance Audits and Education Services Include:
- Onboarding new physician education on clinical documentation and coding
- Concurrent or Retrospective coding Audits
- Risk Adjustment Reviews
- HEDIS medical record reviews
- ICD-10-CM Audits
- CPT/HCPCS Audits
- E/M Level Audits
- Pro Fee Audits
- Clinical Documentation Audits
- Coding support
- Denial Management