Coding & Documentation

Full and accurate coding and documentation ensure that your practice receives appropriate reimbursement for the healthcare services that it renders and helps your practice avoid external audits by Medicare, Medicaid, and other payers.

Coding & Documentation Audits

BCS Coding & Documentation Audits evaluate the accuracy of procedure and diagnosis coding, modifier usage, completeness of documentation, medical necessity, potential lost revenue, and charge-based opportunities.

BCS’s team of certified Coding & Clinical Documentation Improvement (CDI) consultants have extensive experience performing independent coding reviews in both the inpatient and outpatient settings. Our Medical Record Chart Reviews are performed in compliance with AMA, CMS and insurance carrier coding guidelines and comply with both HIPAA and the National Correct Coding Initiative.

Clinical Documentation Improvement (CDI)

BCS’s Clinical Documentation Improvement solution significantly improves clinical documentation, ensuring that it fully and accurately reflects the severity of illness, complexity of care, and resources consumed. Our comprehensive program bridges the gap between clinicians and the coding and billing system; increasing and capturing appropriate reimbursement for services provided. BCS can provide the tools, strategies, and skills necessary for you to achieve the most accurate documentation and coding.

Our Clinical Documentation Improvement team is composed of certified Coding & Credentialed Clinical Documentation Improvement Professionals along with utilization review nurses. The BCS team brings more than 30 years of collective experience to every engagement.

Coding Support

BCS provides medical coding services to physician practices across most specialties. We employ credentialed and experienced coders to address your medical coding needs. BCS can provide you and your organization with coding support on a per question, interim, or long-term (partnership) basis. The BCS team delivers fast and compliant coding services and always support our advice with source documentation so you can be assured that our advice is accurate and is defensible.

ICD-10 Planning & Transition

ICD-10 will be one of the most significant challenges the healthcare industry will face in the next several years. Lack of preparation can have a significant negative financial impact on your organization due to denied or delayed claims. BCS can support your organization by performing an ICD-10 Documentation & Readiness Audit or helping you build an ICD-10 transition roadmap.

BCS’s ICD-10 Team is led by renowned ICD-10 expert Deborah Grider and is composed  of Certified ICD-10 Trainers who have participated in the American Health Information Management (AHIMA) ICD-10 Training.