coding/compliance

CHAN's professional staff includes several full-time auditors who work exclusively on corporate compliance matters.

These compliance specialists are much more than a technical resource for our clients and auditors. They develop innovative risk assessment tools, communicate information on emerging issues, develop audit programs for high-risk compliance areas and monitor adherence to corporate integrity agreements. CHAN's Director of Coding Compliance also reviews each client's annual audit plan to ensure appropriate attention has been given to compliance risks.

In addition to our Client Based CHAN auditors, many of our clients also have dedicated CHAN Coding Compliance auditors who perform in-depth technical reviews of their coding and billing procedures. These individuals have special training and experience that qualify them to assess coding accuracy and CPT, ICD-9 and DRG assignments on an account-level basis.

Healthcare organizations have an increasing need to maintain effective compliance programs.  CHAN can develop benchmark indicators to assess the effectiveness of corporate compliance programs, and perform audits to evaluate compliance with the indicators.

Our Coding Compliance services include: