
Medical Coding Audits
Coding Audit Services
Increasing physician coding proficiency can materially impact your organization’s bottom line and lower your regulatory risk. SunHawk’s medical coding and audit experts work across specialties and organizations to ensure proper coding of medical claims.
Our services in this area include:
- Medical Coding / Documentation Audits: We assess whether a provider’s level of service is supported by coding guidelines, specify recommendations to improve accuracy and compliance, provide feedback on potentially high risk documentation concerns.
- Bell Curve Analysis:State and federal regulators are increasingly using physician utilization data to determine which providers and practice areas to audit. SunHawk’s professionals help organizations properly benchmark physicians’ utilization against similar providers.
- RAC & External Audits:SunHawk’s professionals each have decades of experience preparing for and responding to government audits. We ensure your positions and your needs on complex issues and subjects are clearly communicated to government regulators and enforcement personnel.
Provider & Staff Coding Education
SunHawk’s education program takes a holistic approach to help any team boost its knowledge and improve and/or reinforce its complex coding competency. Our professionals have expertise in a variety of physician and advanced practice concerns, and specialty procedures. We work with a wide range of entities, including major hospital groups, SNFs, Cancer Centers, as well as small, independently owned physician practices.
Testimonials
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SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
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SunHawk Consulting specializes in professional consulting services and has a team of highly skilled subject matter experts with substantial backgrounds in:
* Healthcare Compliance: Statistical Sampling, Medical Coding Audits, Healthcare Compliance Programs, Evaluation of Compliance Programs and Risk Assessments, HIPAA Compliance Risk Assessments & Training, Corporate Integrity Agreement (CIA) Board Advisor, Independent Review Organization (IRO) Services, Interim Healthcare Compliance Support, Physical Security Assessment, Design and Implementation of Sunshine Act Compliance Programs, Enterprise Risk Management Optimization, Governance, Risk and Compliance (GRC) System Support, Electronic Health Record (EHR) System Implementation, Outsourced Audit Function Support, Medical Risk Adjustment Compliance (Medicare, Medicaid, Commercial), Policy, Procedure, Internal Control Development and Evaluation, FedRAMP Compliance;
* Corporate Investigations: Fraud Investigations and Forensic Accounting, Anti-money Laundering (AML), Bank Secrecy Act (BSA), Know Your Customer (KYC), Foreign Corrupt Practices Act, Third-party Due Diligence;
* Corporate Compliance: Evaluation and Design of Corporate Compliance Programs, Interim Compliance Support, Compliance Risk Assessments, Physical Security Assessment, Enterprise Risk Management, Private Equity Governance, GRC System Support, Audit Function Support, Fraud Risk Assessments, Investigations Program Assessment and Enhancements, Qui Tam Investigations, Hot Line Support;
* Litigation Disputes: Complex Litigation and Disputes, Mergers and Acquisitions: Regulatory Due Diligence, Expert Witness, Statistical Analysis, Healthcare Payment Disputes, Litigation Support, Physical Security Assessment, Neutral Party Data Analysis.