COVENANT H.I.M.
Health Information Management Consultants
ABOUT OUR BUSINESS
Covenant Health Information Management is a leading provider of consulting and training services for medical coding and reimbursement. Formed in 1999 and founded on the principle of supporting healthcare entities with outstanding coding educational services, quality consultants and improved outcomes, we are dedicated to providing the highest level of service to our clients.
All of our consultants are multi credentialed, seasoned HIM professionals with years of experience in their respective areas of coding and documentation expertise. Our ICD-10 expert consultants have been at the forefront of the transition to ICD-10-PCS. Healthcare entities looking to understand the new coding and reimbursement system have relied on us for guidance and results.
INPATIENT CODING ACCURACY REVIEW
Retrospective review and validation of the coding, DRG, medical record documentation, discharge disposition, POA indicators & POO codes submitted by the facility. Detailed recommendations are delivered to the coding staff with monthly results reported to the coding manager. An annual report is also provided.
INPATIENT CODING EDUCATION
Provide Inpatient Coder education and training on results of inpatient review data, AHA Coding Clinic requirements and other pertinent educational topics to promote consistent coding guidelines for all coders. Policy Development, education and training is also provided with this service.
RAC & INSURANCE APPEALS
Review, appeal, recovery and remediation of inpatient RAC & third party insurance denials. Coordination and communication with the RAC team, PFS and Physicians/providers of care is also part of this service. Data entry, tracking, analysis, reporting and attend meetings as requested by RAC team.
ICD-10 CM/PCS EDUCATION & TRAINING
Plan, implement and monitor system wide training program for coders for ICD 10 CM & PCS. Physician Education is a component of this service.
COMPLIANCE REVIEWS
Provide coding compliance reviews and implementation of CMS focused audits. Provide medical record review of coding, documentation and data analysis. Report generation with findings, summary and recommendations. Provide assistance via focused DRG reviews, trends and outcomes.
MEDICAL DEVICE CODING VALIDATION
Assist Medical device manufacturers and their provider customers, including hospitals, physician practices and other health care providers, improve the accuracy and completeness of their ICD-10-PCS and coding and DRG reimbursement.
QUALITY REVIEWS
Patient Safety Indicator Review
Hospital Acquired Condition Reviews
Management Consulting Services
RAC Coordination & Management
CDI Coding Training & Education Services
