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Inpatient Coding and Compliance Solutions

Today's sophisticated inpatient coding environment presents you with opportunities for improvement and areas of exposure.

The magnitude and causes of inpatient coding problems can vary greatly from one provider to the next. We understand that different situations require different solutions. Whatever your situation, our solutions will improve compliance and ensure that you're reimbursed appropriately for services rendered. Our team of professionals consists of RHIAs, CCSs, RNs and CPAs, with decades of experience.

Our computer-assisted process uses Department of Health & Human Services MedPar data to evaluate your facility's coding and MS-DRG assignment trends

The SunStone Process
  1. Compares your MS-DRGs to peer providers and state/national averages
  2. Reviews MS-DRGs that have been focus areas of the OIG and State Medicaid programs
  3. Compares our MS-DRG assignment to yours, identifying specific problem areas and patterns

 

Following our review, we can help develop a correction plan to ensure both accurate inpatient coding and regulatory compliance. Our philosophy stresses quality training, ongoing monitoring and targeted reinforcement to maximize documentation, coding, and billing accuracy.

For detailed information about SunStone Consulting Inpatient Solutions, please contact Michael Tagliati, RHIA at 717-439-1179 or via email at miketagliati@sunstoneconsulting.com.

 

Charge Process (CDM)

Compliance

Documentation Accuracy Program

Inpatient Coding and Compliance

Outpatient Claim Analysis

Pharmacy Revenue Cycle

Pricing

RAC Assessment

Reimbursement & Financial Analysis

Revenue Cycle

Transfer MS-DRG Review

Workers’ Compensation Recovery

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