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Physician Coding Audit Services


Location
Iowa
Publication Date
03/11/2020 07:36 AM EDT
Closing Date
04/06/2020 04:00 PM EDT
Issuing Organization
University of Iowa
Solicitation Number
Description

Specifications include, but are not limited to: • Conduct a comprehensive industry benchmark risk based professional coding audit of medical record documentation to identify missed professional billing opportunities and to ensure the professional services billed comply with CPT/HCPCS/ICD-10-CM guidelines, third party payer billing regulations, compliance program standards, and documentation requirements. • The frequency of the audit process will be monthly and moving to quarterly with no more than 50 providers per specialty division. The number of claims to audit will be established based on Supplier's sample selected per specialty, not to exceed 1000 encounters.

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