The HRS Audit Difference

  • Superior coding expertise helps you secure accurate reimbursement
  • Exceptional auditor integrity pinpoints both challenges and opportunities
  • Detail-driven results to design a robust improvement plan
  • Full-service auditing program ensure consistently better results
  • Technology enabled auditing yields faster results and more impactful solutions

Apply HRS Audit Expertise in These Areas

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Facility & Professional Fee Settings >

Inpatient
Emergency Department
Ambulatory/Same Day Surgery
Observation
Interventional Radiology
Vascular Interventional Radiology
Ancillary
Charge Edits
Outpatient Diagnostics
E/M (Evaluation & Management) Levels

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Healthcare Organizations >

Acute Care Hospitals
Integrated Health Systems
Ambulatory Surgery Centers
Physician Practices
Specialty Hospitals – Pediatrics, Women’s, Oncology
Critical Access Hospitals
Health Insurance Plans

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Code Systems >

ICD-10-CM/PCS
CPT4/HCPCS
Hierarchical Condition Categories (CMS-HCCs & HHS-HCCs)
MS-DRGs
APR-DRGs
APCs

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Audit Case Types >

Retrospective Audits
Pre-bill Audits
Coding Validation
DRG Validation
Clinical Validation
Risk Adjustment Data Validation (RADV)*

The HRS Approach to Auditing

Deep Expertise: Our auditing programs are designed for long-term improvement of your coding, compliance and reimbursement. Armed with an expansive knowledge of ICD-10, HCCs, CPT4/HCPCS, MS-DRGs and APCs, our auditing team will identify systemic challenges with your coding that, when corrected, will help you enhance your revenue integrity.

Flexible and Customized: Your organization’s specific needs and processes dictate our direction. Our comprehensive auditing programs offer every service you need—from clinical validation to coding validation—to create more value from your coding. We promise a customized expertise.

Partners in Excellence: Our auditing team has been improving clients’ revenue and compliance for years, combining our shared experience to position you to succeed. As your auditing partner, we apply our resources, communication, technology and process improvement abilities to help you reach your quality improvement goals.