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ICD-9/ICD-10 Dual Audit

CMS created the GEM files in an attempt to allow providers to measure the impact of the ICD­10 transition. Using these files to complete the assessment has had an unintended consequence. Providers and Analysts have discovered that the documentation is simply insufficient to apply the ICD-10 codes.

With this, Revant began working with a select providers to identify a method for overcoming this obstacle. After more than a year of focusing on the issues, Revant developed the concept of a “Dual Audit.” Drawing upon Revant’s long history of coding audits, an audit tool was developed that identifies the weaknesses of current coding as it relates to ICD-10 codes.

Revant’s Dual Audit program identifies a select sample of accounts using a scientific method that focuses on the largest risk areas for an individual facility. The identified accounts are then audited using the Dual Audit tool by a group of skilled ICD-9/ICD-10 auditors. These auditors identify not only future risk areas under ICD-10, but also existing risk areas under ICD-9. The findings from these skilled auditors are then interpreted into a concise report which becomes a road map for making needed changes today and in the future.

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