Significantly reduce coding errors and denials
Plutus Health’s AAPC-certified coders leverage intelligent RPA technology to provide medical coding audit services. We help healthcare providers to stay compliant and get the maximum reimbursement. We provide coding audit services for all specialties so that you get the payments you deserve.
CPT trend analytics
Analytics are continually provided, and KPIs are monitored every minute of each day via our Olympus Work Force Management and KPI analytic engine.
Know the rules
We know what rules must be followed for facility and office procedures, no matter what specialty, state, or payer.
Clinical document improvement
We monitor and constantly evaluate coding levels to provide clinical documentation improvement opportunities.
Coding compliance audits
We offer coding consultation and detailed reports to help you minimize coding errors and denials.
Ensure 98% accuracy and compliance with Plutus Health
Give your board, investors, team, business owners, and yourself peace of mind by leveraging Plutus Health to ensure that your coding, clinical documentation, modifiers, insurance-based modifiers, and sequela codes are being used in a compliant way no matter what the complex guidelines are calling for. We have your back and will be glad to take this very challenging task on for your benefit!
- Check for under and up-coding
- Find out areas of lost revenue
- Follow acceptable coding standards
- Know the areas of compliance concern
Our coding audit capabilities include:
Partnering with Plutus Health for your medical coding audit will give you the following benefits:
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FAQs


A medical coding audit is a systematic review of coded claims to assess accuracy and compliance. It's critical for identifying coding errors, preventing compliance violations, discovering revenue leakage, ensuring quality standards, and defending against external audits by demonstrating proactive compliance monitoring.


Plutus Health performs prospective audits (before submission), concurrent audits (during processing), retrospective audits (post-payment), focused audits (specific areas/codes), comprehensive audits (full scope), and compliance audits to support external audit defense.


Best practice recommends quarterly internal audits minimum, annual comprehensive audits, ongoing focused audits on high-risk areas, audits following staff changes, and audits after coding standard updates to maintain continuous compliance and quality standards.


Audit reports include accuracy percentages, error categorization, coding error examples, compliance risk assessment, recommendations for improvement, staff training needs identification, trend analysis, and specific corrective actions with implementation timelines.


Audits identify patterns causing denials (15-20% reduction potential), discover undercoded services (10-20% revenue recovery), prevent compliance violations, improve staff competency, establish documentation standards, and provide data for continuous improvement initiatives.









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