Coding & Documentation Audits

Ensuring Compliance and Accuracy

VMG Health’s certified Coding & Compliance professionals review your documentation and coding procedures to ensure they are appropriate and meet the requirements that are issued by the Centers for Medicare and Medicaid Services (CMS) and other governmental agencies. Our experts meticulously assess your coding processes to ensure appropriate medical documentation and code selection, identifying areas for improvement to enhance the overall quality and compliance of your billing procedures.

To provide an efficient and thorough review, VMG Health’s Compliance Risk Analyzer (CRA), which simulates the auditing and review processes of the Office of Inspector General (OIG), may be leveraged for the audit.

Based on the issues identified, our team provides customized recommendations to help your organization maintain healthcare compliance going forward.

• Determine whether the professional and/or facility services being provided are coded appropriately and supported by the documentation present in the medical records.
• Identify key areas for improvement and provide custom training for ancillary staff and providers.
• Provide internal audit workflows through CRA.
• Membership Programs & Education:
  • Ophthalmology Connection (formerly BSM Connection)
  • ASC Connection (formerly eSupport)
  • Billing and Coding Connection for Eyecare
  • The Messenger for Ophthalmology
  • Medicare Payment Rates for Eyecare & ASCs

VMG Health has provided coding and documentation audits to healthcare organizations of all sizes and types, including large health systems, ambulatory surgery centers, and specialized medical groups such as eyecare practices, large platforms, and management services organizations (MSOs). Our coding and documentation audits will ensure your coding procedures are accurate, compliant, and optimized for maximum efficiency.