Coding Quality Review and Education (CQRE)

At one time HIM was not considered a revenue-producing department. Now it is the ONLY revenue-producing department. Undercoding only a few records can have a negative impact on your hospital’s revenues. Overcoding can lead to coding compliance issues and potential RAC audits. Ensuring medical coding compliance is vital in today's regulatory environment.

Coding Quality Review and Education with CARE's exclusive 3Rs methodology.

Coding Quality Review and Education services have been the centerpiece of our coding consulting since 1983. From our extensive experience, we have developed a unique 3Rs (Retrieve, Review, Refresh) approach to quality enhancement.

Retrieve: Automated record selection or record identification ensures accuracy, faster selection and less disruption to your organization.

Review: The coding review specialist studies each record to identify areas where changes are necessary. The coding specialist then creates an easy-to-use report that summarizes all data from the coding review. Supporting the entire process is an experienced review team consisting of a coding compliance specialist, data specialist, and senior coding advisor who assure an exceptionally thorough review and meaningful report.

Refresh: Personalized training ensures that necessary improvements are made to each individual’s performance and the organization's coding procedures. The impact of the improvements is maintained and often expanded over the long term. Training is conducted in a professional, peer-oriented, mutually respectful environment that encourages participation and learning.

CARE's 3Rs can restore the three most important facets of coding procedure (thoroughness, accuracy and speed) to your coding process...while enhancing revenue for a significant return on your investment.