Coding Audit definition

Coding Audit means:
Coding Audit means R1’s [*****] sample based internal audit of the accuracy of the billing coding performed by R1 employees, which audit shall not (for the avoidance of doubt) include billing coding performed by any third party coding services provider (whether engaged by R1 or IMH). Cases coded by a Transitioned Employee shall be subject to the Coding Audits only after such Transitioned Employee has been employed [*****] Text omitted for confidential treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. by R1 for one full [*****]. Each R1 coder shall be audited at least [*****]. In conducting the Coding Audits, R1 shall use only personnel holding the following credentials: auditors of inpatient coding records must have at least [*****] years of hospital inpatient coding experience and auditors of outpatient coding records must have at least [*****] years of hospital outpatient coding experience. Additionally, each coding auditor must have any one or more of the following coding credentials: (i) RHIA, (ii) RHIT, (iii) CCS or (iv) CPC. This Service Level measures performance with respect to the IMH Facilities.
Coding Audit means R1’s [**] sample based internal audit of the accuracy of the billing coding performed by R1 employees, which audit shall not (for the avoidance of doubt) including billing coding performed by any third party coding services provider (whether engaged by R1 or IMH). Cases coded by a Transitioned Employee shall be subject to the Coding Audits only after such Transitioned Employee has been employed by R1 for one full [**]. Each R1 coder shall be audited at least [**]. In conducting the Coding Audits, R1 shall use only personnel holding the following credentials: auditors of inpatient coding records must have at least [**] years of hospital inpatient coding experience and auditors of outpatient coding records must have at least [**] years of hospital outpatient coding experience. Additionally, each coding auditor must have any one or more of the following coding credentials: (i) RHIA, (ii) RHIT, (iii) CCS or (iv) CPC.

Examples of Coding Audit in a sentence

  • DSP Display PCC Data Entry Site ParametersACC Process ACCEPT Commands ...DDPR Delete Duplicate Primary Providers from Visits DXV DX Coding Audit for Selected Set of VisitsESP Enter/Edit PCC Data Entry Site Parameters EVM Auto Merge Event Visits on Same DayFTM Forms/Data Entry Tracking Menu ...

  • Current Audit Activity • BHMC Coding Audit for FY20-Quarter 2o In process.o Objective is to review the coding of inpatient and outpatient claims to ensure it meets federal billing/coding guidelines and Broward Health’s coder accuracy rate of 95%.o Final stage.

  • West Midlands Ambulance Service was not subject to the Audit Commissions Payment by Results Clinical Coding Audit during 2013/2014.

  • Clinical Coding Audit Outcomes of the hospital’s coding audit are detailed below.

  • Work experience in Madagascar is also required, with a preference to include work in the arid Southern regions of the island.Language Proficiency Level IV English and French ability (professional fluency), and good working knowledge of Malagasy are required.Job Knowledge The incumbent must have knowledge of international and local stakeholders in Madagascar in the agriculture, food aid, nutrition and emergency sectors.

  • To support the ongoing improvement of the service a comprehensive Audit programme is developed and undertaken throughout the year by the Clinical Coding Audit Lead.

  • Outcome: Grand Rounds Coding Review Audit Report submitted to the District Coding Manager Audit recorded on the ‘HIS Coding Audit Calendar’.

  • Oaks Hospital has been subject to an internal Clinical Coding Audit.

  • In 2011-12 the Trust received a Payment by Results (PbR) Follow up of Clinical Coding Audit Recommendations Report (published on 11 May 2012) which contains the findings from the follow-up of the most recent recommendations of previous audits and reviews (e.g. clinical-coding audit, the outpatients data quality review and the reference-costs review) delivered by the Audit Commission.

  • In February 2019, the Trust commissioned an External Clinical Coding Audit.


More Definitions of Coding Audit

Coding Audit means R1’s [*****] sample based internal audit of the accuracy of the billing coding performed by R1 employees, which audit shall not (for the avoidance of doubt) include billing coding performed by any third party coding services provider (whether engaged by R1 or IMH). Cases coded by a Transitioned Employee shall be subject to the Coding Audits only after such Transitioned Employee has been employed

Related to Coding Audit

  • the Auditors means the auditors from time to time of the company or, in the case of joint auditors, any one of them;

  • Audit means the examination of a person or the inspection of the books, records, memoranda, or accounts of a person, ordered to appear before the Tax Administrator, for the purpose of determining liability for a municipal income tax.

  • Independent Auditor has the meaning specified in subsection 7.01(a).

  • Independent Auditors has the meaning set forth in Section 3.2.

  • Single Audit means an audit that includes an examination of an organization's financial statements, internal controls, and compliance with the requirements of Federal or State awards.

  • Independent Accounting Firm has the meaning set forth in Section 2.05(c).

  • cost accountant means a cost accountant as defined in clause (b) of sub-section (1) of section 2 of the Cost and Works Accountants Act, 1959 (23 of 1959) and who has obtained a certificate of practice under sub-section (1) of section 6 of that Act;

  • Neutral Auditor means Ernst & Young or, if Ernst & Young is unable to serve, an impartial nationally recognized firm of independent certified public accountants other than Seller’s accountants or Purchaser’s accountants, mutually agreed to by Purchaser and Seller.

  • Independent testing laboratory means an independent organization, accepted by the Contracting Officer, engaged to perform specific inspections or tests of the work, either at the site or elsewhere, and report the results of these inspections or tests.

  • Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Root Cause Analysis Report means a report addressing a problem or non-conformance, in order to get to the ‘root cause’ of the problem, which thereby assists in correcting or eliminating the cause, and prevent the problem from recurring.

  • Independent Accountant has the meaning set forth in Section 2.04(c)(iii).

  • Neutral Accountant means a national independent accounting firm selected by Buyer and reasonably acceptable to Sellers.

  • Practical examination means a demonstration through application of the safety rules and principles in industrial radiography including use of all procedures and equipment to be used by radiographic personnel.

  • Non-Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Compliance Audit means the procedure (in a form advised by the GLA from time to time) by which an auditor independent of the Grant Recipient certifies (at the Grant Recipient's cost) whether the Named Projects developed or Rehabilitated pursuant to this Agreement satisfy the GLA's procedural compliance requirements (as described in the Affordable Housing Capital Funding Guide);

  • Approved Auditor means a person who is:

  • Benchmarking Report means the report produced by the Supplier following the Benchmark Review and as further described in this Framework Schedule 7;

  • Initial determination means the first child custody determination concerning a particular child.

  • Testing laboratory means a laboratory, facility, or entity in the state that offers or performs tests of cannabis or cannabis products and that is both of the following:

  • Performance audit means an objective and systematic assessment of a state agency or agencies or any of their programs, functions, or activities by the state auditor or designee in order to help improve agency efficiency, effectiveness, and accountability. Performance audits include economy and efficiency audits and program audits.

  • Examination Criteria means the loan classification criteria employed by, or any applicable regulations of, the Assuming Institution’s Chartering Authority at the time such action is taken, as such criteria may be amended from time to time.

  • Independent Expert means a Person or entity with no material current or prior business or personal relationship with the Advisor or the Directors and who is engaged to a substantial extent in the business of rendering opinions regarding the value of assets of the type held by the Company.