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Coding and Compliance Services


These services enable providers to perform focused, detailed reviews to achieve compliance and the highest level of revenue capture. CBIZ performs reviews for DRG, hospital outpatient, professional services (E&M, procedure reviews) and other non-acute inpatient services.

DRG Validation and Review Services

This CBIZ service blends in inpatient coding and data analytics to craft provider-based solutions that lead to sustained financial performance gains and process improvement.

Physician Coding and Compliance Services

This service ensures that coded and billed E&M and procedural codes are supported by the documentation.

Outpatient Reviews

This CBIZ service reviews the accuracy of coding and documentation. Our process ensures that entitled revenue is captured and that compliance with billing and coding regulations is achieved.

Observation and Short Stay Reviews

Our targeted approach reviews short stay admissions and observation cases for incorrect patient status assignment and medical necessity.