Coding Review

Coding Review 2017-06-16T09:48:29-06:00

Accurate coding is a key factor in optimizing appropriate reimbursement while avoiding penalties from external audits. NPS believes that coding is a crucial component to healthy practice operations. Our team is dedicated to nephrology specific coding, our coding reviews can help you evaluate whether your practice is overcoding or undercoding and coach your team to code & document accurately. Contact me to today to learn how NPS can help your practice code accurately.

Suzanne Leathers, Certified Trainer at Nephrology Practice Solutions

Contact Suzanne Today!




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Nephrology Practice Solutions team member Suzanne can help your practice with coding review to ensure your staff are up to date with coding practices

Why should my practice do a coding review?

Accurate coding is a key factor in optimizing appropriate reimbursement while avoiding penalties from external audits. Medicare and other payers have developed tools to compare individual physician variations from national averages, allowing them to focus their audits on physicians that have coding patterns outside the norm. During an audit the codes you have billed will be compared to the clinical documentation that was recorded in the patients’ charts.

*For illustrative purposes only. Because each client is unique, this is not a guarantee of results.

Why is coding training so important?

At NPS we believe that coding training is one of the most important pieces of a coding review. We offer specific training for physicians to discuss their current coding practices and how they can be improved to potentially reduce audit risk. Our services can help the practice accurately bill for services provided. The chart below shows the overall improvement of current NPS coding clients after reviews and training with the NPS team.

This data is historical and not a guarantee of future performance.

I have been a nephrologist for a long time, isn’t coding training just for new physicians?

Coding standards and guidelines have changed so much over the past 20 years that experience doesn’t necessarily lead to more accurate coding. NPS has found great success in improving the accuracy of coding for both new physicians and experienced physicians.

This data is historical and not a guarantee of future performance.

What is included in the coding review and reporting?

  • An NPS coding team consisting of both AAPC-certified professional coders** and AHIMA-certified coding specialists† for the review
  • Review of 20 charts containing a mix of hospital and office encounters
  • Comparison of code selection to Medicare guidelines
  • Preparation of a report with key components to help improve the physician’s coding, including the following:

    • Score of how the coding compares to the documentation—error rates and trends
    • Analysis showing the appropriate code for the encounter and documentation required for a specific code
    • Analysis of the physician’s coding prevalence compared to MGMA benchmark
  • Individual phone/WebEx training available for identified coding deficiencies greater than 15 percent
  • Onsite training available for practices with significant coding deficiencies
  • Follow-up reviews as part of on-going feedback system
Contact Us Today to Get Started!

Nephrology Coding Tips

This playlist features videos presented by our coding expert Suzanne Leathers. Proper coding and sufficient documentation are crucial to ensure your practice is getting paid for the work you are doing.

Coding is a key factor in optimizing appropriate reimbursement while avoiding penalties from external audits. NPS offers coding review services for nephrology practices.