Documentation and Coding Assessment

Our assessments have shown that even with the best intentions, the complexities of today’s health care charting and coding requirements result in either under coding or over coding/under documenting on over 1/3 of all encounters. Inaccurate coding directly impacts the revenue of the practice and will leave a physician exposed to the risk of refunds and penalties.

Our affordable solutions can ensure you get paid for the services you provide. Experienced and certified coding auditors provide a thorough analysis of your documentation and coding to identify areas of improvement. We can then train and educate your staff on accurate documentation and coding to ensure optimal revenue for your business.

Sample Audit Report

Coding Scorecard

FINDING	Ahmed	Shawn	Sudhir	Nagma	Practice Overall Rate
Correctly Coded	40%	60%	60%	60%	55%
Over coded or Under Documented	40%	20%	40%	30%	32.5%
Under coded	20%	20%	0%	10%	12.5%

Financial Impact

Provider	Annual Encounter	Encounters Overloaded or Under Documented	Revenue at Risk*	Encounters Undercoded	Potential Revenue Increase*
Ahmed	3,533	1,413	AED 59,346	706	AED 29,652
Shawn	2,987	597	AED 25,074	597	AED 25,074
Sudhir	2,917	1,167	AED 49,014	0	AED –
Naghma	3,182	954	AED 40,068	318	AED 13,356
Practice Total	12,619	4,131,	AED 173,502	1,621	AED 68,082

You contact KG and then send your medical records securely, either electronically or Onsite

KG scans the records and chooses an auditor based on your needs and specialty

The auditor performs the complete audit and writes the audit report, and then sends the results back to KG senior audit staff.

The senior audit staff checks and validates the auditor’s findings, and calls to discuss the results with you. You receive a full written report

Health care is changing. Do you feel it?

• The business of health care is evolving rapidly. Reimbursements are being cut, while complex legal and regulatory requirements are increasing. Compliance programs are mandated and Recovery Audit Contractors (RACs) have already begun auditing physician practices. At the same time you still have to efficiently run your practice, maintain financial strength, manage your staff, and ultimately provide quality health care for your patients.
• KG will help you navigate these complexities with proven expertise and tools to sustain order, preserve confidence, and achieve profitability