Revenue Cycle and Coding Audits
Coding Audit Services
SunHawk’s clinical, medical coding and audit experts support both payer and provider clients with accurate submission of medical claims with the goal to minimize overpayments and exposure to regulatory risk.
Our certified coders, clinicians, and compliance professionals support a wide range of care settings including hospitals, physician practices, ambulatory surgery centers, FQHCs, behavioral health facilities, home health, SNFs, and risk adjustment programs.
SunHawk professionals have assisted clients in the following areas:
- Clinical Documentation Improvement (CDI) facility and physician office
- DRG, APC, Fee-For-Service, and Risk Adjustment
- Medical Necessity, Place of Service, Clinical Validation, LCD/NCD
- Electronic Medical Record (EMR) enhancements
- HEDIS/STARS Healthcare Quality Measures, documentation of gap closures
- Benchmarking and performance tracking of coders and providers
- Training and Education for coders and providers
- Policy and Procedure drafting and assessing
- Compliance with documentation requirements (i.e., Telehealth, Certificates of Medical Necessity, Shared Decision Making, Valid Orders, etc.)
- Litigation support services under Attorney Client Privilege for self-disclosures and investigations for coding and billing matters
Credential and Licenses Held by Our Experts Include:
- Certified coders (CPC, CCS, RHIA, RHIT, etc.)
- Certified Risk Adjustment Coder (CRC)
- Advanced Hierarchical Condition Category Associates (AHCCA)
- Healthcare Anti-Fraud Associates (HCAFA)
- Licensed Nurses and Nurse/Coders
- Licensed Physicians
Testimonials
Get In Touch
SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
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