UnityPoint Health is one of the nation's most integrated health systems. Their physician-led team of professionals communicates clearly and effectively to address a patient's health care in the most appropriate setting: whether that is a clinic, a hospital or at home. Through relationships with more than 280 physician clinics, 37 hospitals in metropolitan and rural communities and home care services throughout its 9 regions, UnityPoint Health provides care throughout Iowa, western Illinois
With projected annual revenues of $3.7 billion, UnityPoint Health is the nation's 13th largest nonprofit health system and the fourth largest nondenominational health system in America.
UnityPoint Health, UnityPoint Clinic and UnityPoint at Home provide a full range of coordinated care to patients and families. MediRevv partners with UnityPoint Health in the Eastern and Southeast Iowa regions to perform coding audits for compliance, provider education and pre-merger evaluations.
UnityPoint is a quickly growing organization and procured MediRevv to assist with internal audits for compliance and education to increase their breadth and depth and the ability to audit their many physicians in a timely fashion.
With technological advancements in EMRs the responsibilities for front end medical coding have shifted over the past few years. Many providers are now selecting codes with the assistance of templates in the EMRs. The majority of the time this new process creates efficiencies, but physicians are not certified medical coders and therefore do not have the specific expertise of knowing the myriad of complex coding guidelines to follow.
MediRevv audits charts for physicians to provide education and increase first pass cleans claims rates. And, just to be clear, the government takes coding accuracy and compliance seriously and monitors claims to protect public health funds.
MediRevv audited 644 charts, covered 4 regions which included 9 specialties. MediRevv also examined 10 charts per physician or qualified
Within the 10 charts, the following was confirmed:
Each provider received an individual report outlining accuracy rate and detailed information of incorrectly coded records. Coding leaders were provided with a summary report of finding across the organization.
Their coders have a vast array of knowledge and experience in many different specialties and have been able to step in and assist Unity Point with complex auditing and coding reviews. They are timely and thorough and have been able to provide in-depth reports and analysis."
When performed with the right intention, style and frequency, medical coding compliance audits provide crucial feedback and direction to enhance both coding operations and revenue cycle performance.
Our recommendations for UnityPoint Clinic included providing ongoing ICD-10-CM education and performing focused ICD-10-CM audits. Also, we review the internal compliance plan to ensure ongoing internal/external audits occur at regular frequency intervals (i.e. monthly, quarterly.) Since this audit was completed in April of 2018, MediRevv has completed several more audits for UnityPoint and referring organizations because of the trust and value we have with UnityPoint Health.