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A coding audit is a comprehensive review of your coding, billing, documentation and reimbursement process. And, who better to perform your coding audit than the only nationally recognized trainer of medical auditors -- NAMAS! NAMAS auditors are dually credentialed as Certified Professional Medical Auditors (CPMA) and Certified Professional Coders (CPC) and each auditor has a minimum of 15 years' experience. Our auditors perform coding audits for medical practices and facilities around the country. The first and foremost reason for performing a coding/documentation audit is compliance. An annual review of your practice's coding and documentation is recommended by the OIG (Office of Inspector General) as part of an effective compliance program. A coding audit can also help ensure that you are receiving optimal reimbursement for all the services you provide. In addition, a coding audit will help: Identify areas of risk in your coding and documentation practices Discover whether you are missing revenue through outdated coding practices Ensure that your coding practices are compliant with the regulations set forth by private and government payors Teach your providers and staff how to use documentation to maintain compliance and maximum reimbursement A coding audit can be performed remotely or at your facility. One of our expert auditors will review a random selection of charts to identify trends in your coding practices that may be costing your practice money or putting your practice at risk. Our coding audits are comprehensive and include an evaluation of the practice's fee schedule, modifier usage, CPT/ICD coding, provider documentation, EOB denial trends, and productivity levels for Bell Curve analysis. Your auditor remains aware of the rules used by Medicare and commercial carrier auditors while also identifying coding and billing practices that could increase efficiency and overall revenue. The most important part of any coding audit is the implementation of better coding practices based on the deficiencies identified. Therefore, it is most important that the audit findings are discussed and reviewed in detail with each provider, including physician assistants and nurse practitioners, educating them on how to improve the noted deficiencies. Our auditors will communicate the methodologies used and the overall findings of your audit. An auditor will also spend time with each key staff member such as medical coders and surgical coders to provide hands-on training and feedback to ensure they are equipped to assign the most accurate codes that are in the best interest of the practice.

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