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WHO ARE WE
Our highly-trained auditors conduct over 125,000 audits annually. Clients range from solo practice physicians to large integrated health systems and academic medical centers. We match the expertise of each auditor by medical specialty and conduct multi-tier reviews on every audit to ensure your findings are accurate and, best of all, save you time and money.
Identify existing coding and documentation issues that may affect your organization’s revenue or put your organization at risk for compliance violations. AIE can provide the gold-standard in a comprehensive assessment of documentation, coding and billing.
Verify compliance and validate documentation and coding to avoid inaccurate risk adjustment or underpayments with an expert HCC audit. We utilize a structured methodology designed to validate the accuracy of diagnosis coding related to HCC categories and determine whether or not records meet CMS’s compliance requirements.
Validate the accuracy of audit findings for repayment requests. By objectively applying CMS & CPT coding principles and guidelines, we reveal errors in the original review and reduce your repayment amounts. Additionally, our experts will identify areas where a physician’s work is not being accurately reflected in the documentation. Then, through education and documentation tips, your providers can better translate their thought processes into more accurate coding and claims submissions.
Together, we’ll decide on a custom solution for your organization’s unique problems.
Highly-trained auditors will ensure your findings are accurate to save you time and money.
You receive a detailed written report, documentation tips and improvement recommendations.
Capitalize on overlooked opportunities for improvement, around multiple service lines within your healthcare system or facility by implementing best practice policies and procedures. AIE can provide expert outpatient CDI assessment, program development, training and ICD-10 clinical documentation audits.
Detect payment variances, flag underpaid and incorrectly closed claims and identify inappropriate denials and rejections. At no upfront cost to clients, AIE provides an underpayment recovery service that helps hospitals and health systems quickly recover your dollars, enhance your revenues and keep your financials healthy.
To swim through the largest liabilities occurring in medical reimbursement, our team works meticulously to locate the claims that are likely to yield the greatest recoveries. With respect for the burden on providers, we work round the clock to minimize friction and maximize savings.
Helping you to navigate complex world of medical reimbursement and validations
