Litigation Support  |  Education Services  |  Quality Monitoring and Review Services

Coding Continuum, Inc. professionals provide audit and compliance services, including internal and external coding audits in all healthcare settings.  Coding Continuum, Inc. staff work collaboratively with compliance programs to perform periodic as well as focused reviews based upon client needs.

Important Points

• Coding Continuum, Inc. professionals have experience assisting with implementation of Corporate Integrity Agreements as well as responding to Centers for Medicare and Medicaid Services/QIO reviews associated with Program Integrity initiatives. CCI's principals have been directly involved in the development of quality monitoring programs receiving a Certificate of Excellence from the professional review organization administering the PEPP program in the southwestern United States.
• By virtue of years of experience both in provider as well as payer settings, Coding Continuum, Inc. professionals are equipped to assist compliance programs in addressing internal as well as external concerns. In the provider setting, they have been instrumental in developing risk tables and action plans designed to minimize vulnerabilities to external audit processes. Previous Centers for Medicare and Medicaid Services contractor experience has been instrumental in assisting organizations in understanding Fiscal Intermediary and Carrier requirements as well as developing strategic initiatives designed to respond to both.
• Education is a core component of CCI's audit and compliance services. Coding Continuum, Inc. professionals possess years of experience as educators and are prepared to provide one-on-one physician training as well as group education on topics ranging from individual provider practices to general and specialty specific coding, MS-DRGs, and APCs. The teaching of the American Academy of Professional Coder Professional Medical Coding Curriculum assists organizations and physician practices in responding to the Office of the Inspector General recommendations regarding retention of qualified coding staff as a critical aspect of organizational compliance programs.