STAR Medical Auditing Services

Medical Auditing Services


Auditing Services

maximize revenue by minimizing claim denials, penalties and missed Coding opportunities.

Quality healthcare starts with accurate clinical documentation in the medical chart. Having routine medical record audits will mitigate risk and ensure that your facility or clinic is meeting an efficient delivery of care.  Performing chart audits can determine inaccurate coding trends before the payor discovers them and requests an intense, costly, and time-consuming internal audit. Our auditing services cover:

  • Home Health
  • Rehabilitation (PT/OT/ST)
  • Reimbursement Denials
  • Payor Specific
  • Medical Necessity
  • LCD and NCD
  • Pre-CMS and -OIG
  • RAC
  • NCCI Edits
  • Utilization Review
  • Compliance
  • ProFee/Outpatient/Inpatient
  • Evaluation & Management
  • Focused
  • Performance Improvement
  • Behavioral Health
  • Retrospective
  • Concurrent
  • Prebill
  • Long Term Care

STAR's credentialed Auditors have years of experience in accurate coding and reimbursement concepts.  They specialize in medical record standards and documentation guidelines, coding and documentation compliance, coding and reimbursement processes, scope and statistical methodologies, medical record abstraction and category risk analysis. 

 

Star audits are accompanied with detailed rationale and cited resources

Not only is it important to identify mistakes, but also to understand them so that they can be avoided in the future. STAR Auditors provide detailed rationales and cite the sources used in identifying coding and sequencing errors. As part of our audit, we will provide an Executive Summary that includes the ICD-10 and CPT accuracy rates for each coder or division, trends and missed coding opportunities, and an overall dashboard of issues of risk identified during the audit.