MED-REC SYSTEMS specializes in providing quality health information consulting services to free-standing and hospital-based ambulatory surgery centers. Highly qualified AHIMA credentialed health information consultants assist in the analysis and organization of the health information systems.

The health information consulting services include review of a randomly selected sampling of clinical encounters.  A detail-oriented review of the encounters from admission to discharge using data collection worksheets for documentation requirements per the State Department of Health Regulations, Medicare Conditions of Coverage,  as well as AAAHC, Joint Commission, ACHC, AAAASF, and DNV standards are completed at each visit.  Practical solutions to documentation problems are offered.  A quality indicator study analysis is maintained for clinical record completion to track target problem areas.

CPT AND ICD-10-CM coding audits are available upon request to validate supportive documentation coding practices in the clinical records.  ICD-10-CM training is available upon request by our AHIMA-approved ICD-10-CM Trainers.