With our medical controlling services, we support you in order to:
Significantly increase the quality of your coding and documentation.
Promptly process your open cases and Medical Service (of the Health Insurance Funds) requests.
Optimise your revenue in the long term.
Who we are
‘SEARCH PARTY’ FROM THE RHINELAND
Medical controlling is our passion. We support health facilities in securing revenue and being economically viable. Our activities encompass all issues relating to securing revenue through coding review, ensuring liquidity through on-site primary coding and support in the area of Medical Service (of the Health Insurance Funds) management. The strategic orientation of the respective facility is also one of the issues that we handle. As medical controllers, we are service providers and a link between the management and the health facility or department. We bring all of the parties involved in the process together so that the medical controlling can be performed efficiently and without time wasted due to conflicts and miscommunication.
Our first review step is always free of charge and non-binding. You will receive an initial overview of revenue potentials before the start of the project.
Our bottom line: Code reviewing is always worth it!
How are reviews performed?
The coded cases from the previous day are viewed by us on a daily basis. The dataset according to §21 of the KHEntG (German Hospital Fees Act) from the previous day is automatically recorded by MetaKIS for this.
The cases within normal limits are directly released by us in the system for billing. This means that no gaps result in the billing chain and your employees do not have to exert any additional effort on site.
The cases are released early in the morning. We make sure that all cases are billed by 8:30 in the morning.
We assess abnormal cases within 24 hours. We receive feedback on whether the theoretical abnormalities are also seen in practice or whether the case was properly coded despite the arithmetical abnormality.
According to §275d SGB, only verified complex treatments may be billed from 2022. Positive certification by the MD(K) is essential for future billing. Hospitals are therefore strongly recommended to evaluate the complex codes relevant to their audits in good time. We will be happy to support you in the preparations and in the process of a successful MD(K) structural audit.