Hospital Coding Frequently Asked Questions
Why do clients like Centauri’s RCM Hospital Coding service?
Centauri’s hospital coding services provide the critical accounts receivable and denial management required for optimization of the hospital’s revenue stream.
What makes you different from all the other hospital coding vendors?
Fast Turn Around Time - Centauri can quickly deploy experienced AAPC/AHIMA certified coders skilled in 24 to 48-hour turnaround working in hospital-side Electronic Medical Record (EMR) systems
Coding Specialties - We currently manage 17 different specialties including adult and pediatric.
Accuracy Rate - Our stringent internal processes are continually vetted through coding audits by a Big 4 firm, ensuring accuracy and compliance with today’s regulatory environment.
Training - Specialized training in medical coding ensures our coders are well informed and stay up to date with the latest rules and regulations to ensure accurate reimbursement.
Do your coders hold Health Information Management/coding credentials?
All coding staff are ICD-trained and certified. Our coding best practices are based upon ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, and CMS guidance. We require that our coders maintain certification as Certified Professional Coders (CPC) through the American Association of Professional Coders (AAPC), Certified Risk Adjustment Coders (CRC) through AAPC, and/or Registered Health Information Technicians (RHIT) through the American Health Information Management Association (AHIMA).. We offer many opportunities for staff to obtain CEU credits throughout the year. Our team verifies coding credentials annually to ensure they are active and valid for staff.
Do you offer remote and office-based coding services?
Yes, Centauri provides Coding, Edits and Denials Processing and RCM/HIM services for hospitals of any size remotely, office-based, or client site based.
Which EHR systems do you work with?
We work with many large and small provider/hospital EHR systems such as Cerner, EPIC, Meditech, MS4, and more.
What is your approach to support in-house coding projects?
We are able to support our hospital coding clients with direct hookups to their EMRs. Organized by specialty, we can provide a 24-hour turnaround for encounters. As a vendor with many years of experience working with hospitals partners, we anticipate, and staff for, month/year-end closing volume spikes and can accommodate last-minute medical record claim attachments, credentials and/or signatures.
How much advance notice is required when coding staff is needed to actually place someone within the facility to work?
Advanced notice of at least 48 hours is ideal when it is determined that on-site coding staff is needed. However, we will make every effort to accommodate as quickly as possible.
How do you ensure accurate and compliant coding?
Our Quality assurance process includes rigorous reviews of each coder’s work and checks against industry standards using industry recognized tools such as EncoderPro. Centauri assigns a dedicated coding QA resource to conduct oversight for all individuals entering codes, to ensure that our standards are met, and the coding complies with CMS requirements. Quarterly client audits have proven our work to be 95% accurate.
Additionally, we conduct ongoing internal audits and, for the past five (5) years, have participated in monthly external audits conducted by a member of the Big Four Accounting firms.
How do you work with clients to improve documentation?
Centauri offers various ways to engage in Clinical Documentation Improvement (CDI) from face to face, one-on-one meetings with providers, their support staff, and coders, to working with an in-house CDI team
Do you provide customized reporting?
Yes, productivity and any other reports are identified upon launch of the project and developed to be delivered as needed for meaningful impact to all services rendered by Centauri.