Clinical Data Analysis
Our Experience
- Developed audit templates based on coding and billing requirements and standards of care for executed clinical trials as part as a government investigation at an academic teaching facility.
- Analyzed SNF services to determine if the minutes of therapy documented were consistent with those reported on the MDS.
- Conducted compliance billing review for seven hospitals on short stay, observation versus inpatient admission versus outpatient visits (APC) only.
- Analyzed documentation for major facility on “double bunking” and compliance with level III NICU census requirements.
- Designed statistical sampling methodologies to address complex reimbursement issues.
- Acted as a subcontractor to the consulting firm responsible for conducting engagements regarding the appropriateness of coding and billing issues for impatient Hospital services and physician services for State Medicaid Agencies.
