Identifying Candidates for Medical Coding Audits: Demonstration of a Data Driven Approach to Improve Medicare Severity Diagnosis-Related Group Coding Compliance

Author:

Feng Yunyi,Lin Simon,Lin En-Ju,Farley Lesley,Huang Yungui,Liu Chang

Publisher

Springer International Publishing

Reference19 articles.

1. Rimler, S.B., Gale, B.D., Reede, D.L.: Diagnosis-related groups and hospital inpatient federal reimbursement. Radiographics 35(6), 1825–1834 (2015)

2. Verdon, D.R.: Report: medicare coding errors signal need for physician education. Med. Econ. 91(13), 55 (2014)

3. National Health Expenditures 2016 Highlights. Centers for Medicare and Medicaid Services. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/highlights.pdf

4. CMS financial report FY2017. Centers for Medicare and Medicaid Services. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CFOReport/Downloads/2017_CMS_Financial_Report.pdf

5. Stavrakas-Souba, L.: Avoiding audits by benchmarking your E/M coding. J. Med. Pract. Manage. 21(1), 51–53 (2005)

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