VMG Health’s certified Coding & Compliance professionals review your documentation and medical coding services to ensure they are appropriate and meet the requirements issued by Center for Medicare and Medicaid Services (CMS) and other governmental regulations. 

Our Coding & Compliance experts help to:

  • Determine if the professional and/or facility services provided are supported by the documentation present in the medical record
  • Assess all services rendered for appropriate medical documentation requirements and code selection
  • Identify areas of documentation improvement

To provide an efficient review, a proprietary coding audit tool, similar to one approved by the Office of Inspector General (OIG), is used to assign an accuracy rating to the identified coding compliance issues. Medical record documentation and associated charge capture documents and/or billing forms are then reviewed and compared to the codes billed.

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