Coding Review Services

Objective, Outsourced Coding Quality Management

LYNX Coding Review Services are designed to address coding and charge assignment from a compliance standpoint. The coding audits and education included with this service make up an essential component of a compliance program. This service helps hospitals ensure that coding staff are current on documentation and coding guidelines, evaluate how well coding staff are adhering to performance standards, and identify documentation and coding/charge assignment habits that may lead to suboptimal financial performance or allegations of fraud and abuse.

Services include:

• Monthly coding audits: The LYNX quality management team will review clinical documentation and hospital-assigned codes for one day of outpatient visits per month and provide a monthly report of coder accuracy and associated recommendations.
• Ongoing coder education: Representatives from the LYNX quality management team will conduct a one-day coding refresher course annually and provide appropriate course materials. The course curriculum will address the issues and concerns uncovered during coding audits from the preceding year.
• Coder reference materials: LYNX will provide updates to the LYNX Reference Manual for Emergency Department Coding for up to five reference manuals.
• LYNX coding help desk: LYNX will provide a help line for questions specific to emergency medicine coding through the LYNX coding help desk.
• Ongoing updates: LYNX will provide a monthly coding update containing a review of industry changes, LYNX coding policy changes, and other items relevant to emergency medicine coding.