Improving Hospital Documentation Compliance Without Compromising Goals

If you’ve spent any time at all thinking about compliance in your healthcare organization, you know the threat of an audit is real. At any time, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC), Office of the Inspector General (OIG) and commercial payers have the ability to scrutinize your emergency care and clinic charging practices. But without a set of hard and fast rules to ensure facility visit level charging compliance or emergency room documentation compliance, protecting yourself against a negative audit outcome can be difficult. LYNX can offer you that power of certainty, even when you are facing an audit.

Increasing Compliance. Improving Consistency. Keeping finance on the up and up.

Since 1984, LYNX has used a charging methodology that is not only proven to increase revenue per patient, but is completely defensible in the event of an audit. The closest thing to a set of rules governing facility visit level charging are the 11 Outpatient Perspective Payment System (OPPS) guidelines issued by CMS. LYNX has demonstrated validation of its solution against these 11 guidelines by conducting rigorous analyses using its widespread customer base which exceeds 21 million annual encounters. Our goal is to help you minimize risk. So products like LYNX C/Point broadly incorporate OPPS guidelines for the entire outpatient charging spectrum assuring you both consistent and compliant charging. And services like LYNX performance monitoring help you assess risk and opportunity with up to 95% accuracy–even before you become a customer. Even more, LYNX stands by all of its clients in the event of an audit, and has helped numerous clients during audits without a negative outcome. Because when it comes to areas like healthcare documentation compliance, you want–and need–to have some certainty.