Prospective Services

The Coding Source’s prospective services strive to limit and/or prevent risky patterns of inappropriate documentation and coding performance identified from chart review by addressing the patterns at their source. To help Plans realize meaningful documentation and coding improvement, we create programs that can:

materially reduce compliance risk;
improve chart targeting and results in your retrospective reviews;
provide documentation and coding metrics to support pay-for-performance initiatives; and
reduce false positives and associated costs in your care management programs.

Our coding experts are also often called upon to create customized compliance and training programs to address targeted individual or medical group challenges. From basic training to more intensive, one-on-one instruction, The Coding Source can design a prospective program that may include:

Group educational sessions on basic, intermediate or advanced topics
Specialized group training on specialty-specific coding issues
Summary exit interviews with physicians/staff on retrospective review findings
On-site clinical reviews designed to identify documentation deficiencies across the entire member’s chart
Concurrent reviews offering “real time” feedback and analysis on a pre-billed basis
Documentation and coding guideline and policy development for your corporate or MA-specific compliance program
TCS ACCEL^sm, Accurate Coding through Continuous Evaluation & Learning^sm