ACMCA's Consulting and Curriculum Services

The ACMCA Consultants strive to provide excellence in medical record, coding and compliance auditing services to healthcare organizations. We have successfully performed these services for physicians, hospitals and payers for more than fifteen years.. Our performance advantage is our experience in the healthcare industry, our level of education, training and certification, and our level of research and publications in medical coding documentation and coding. We provide a variety of compliance review services, which include:

• Medical Documentation, Coding and CCI audit and review services for physicians and other professional medical providers and payers.

• MS-DRG audit and review services, i.e., Inpatient PPS Reviews identify coding compliance, reimbursement, and RAC pre-emptive issues through retrospective, concurrent or ongoing (pre-bill) programs.

• APC - OPPS audit and review services of CPT/HCPCS and select CDM codes as they relate to APC and OPPS payments.

• Specialty audits and review services include Psychiatric PPS, Physician’s Office E/M, Charge Master, POA Reviews, Reviews of short stay’s for Medical Necessity, ASC’s, Injection and Infusions and others.

Confidential Client Deliverables Include:

• Detailed Reports (i.e. statistics, financials, coder accuracy tables and charts)
• Comparative analysis to previous reviews (when available) – database maintained for each client of all reviews for tracking and comparison, future research needs
• Physician documentation issues – in accordance with Official Physician Query Policies as recognized by QIO’s
• DRG/APC recommendation citing Official Coding Guidelines
• Customized reports and statistics created upon request
• POA auditing included for Inpatients

Contract Coding Services

• Remote Coding Service: coding backlog assistance without scheduling challenges or unnecessary travel expense.

Other Services

• Clinical Documentation Improvement Assistance
• Coding Education and training