As of September 2010, MARSI has a proven 15 year track record of providing compliance programs that maximize reimbursement while offering overcode/overbilling protection.
Compliance & Auditing
Compliance Reviews
Inpatient & Outpatient
MARSI’s recommended program provides a pre-bill review of coding assigned by the facility for the most appropriate MS-DRG assignment. The pre-bill process eliminates the need for re-submission of these claims, thereby reducing any “red flags” for review by CMS.
The review process includes physician queries, physician education and coding staff training.
MARSI also provides outpatient review for the most appropriate ICD-9 codes, CPT codes and or APCs. MARSI's expertise includes outpatient surgery and interventional radiology.
Inpatient
- MS-DRGs
- Medical Necessity
Outpatient
- Most appropriate ICD-9 codes, CPT codes, and/or APCs
- MARSI’s expertise includes all outpatient services including surgery and interventional radiology
ED
- Facility acuity levels
- Physician E&M levels (as appropriate)
- Analysis of acuity distribution
- Tools and training for improved acuity level assignment
Physician Practice - Hospital Owned or Independent
E&M Coding
- Inpatient
- Outpatient
- Procedure Coding
- Medicare Advantage
Primary Coding
In order to fully serve our clients, MARSI provides short term or long term primary coding support. The program includes MARSI's expert auditing.