Analytics and Technology

Hospitals typically audit coding to make sure it is accurate, complete and compliant with national correct coding guidelines. Audits are usually retrospective and often focus on high volume diagnoses, procedures or diagnosis-related groups (DRGs). Audits may also include a random sample of inpatient and outpatient coding.

Coding audits are a valuable tool for educating coders and improving coding quality and compliance. However, the sample sizes are frequently insufficient to identify problematic patterns that result in lost revenue.

Our Coding and Revenue Enhancement Analytics and Services (nCREAS™) targets specific kinds of coding to assess the extent to which revenue is lost to incomplete or inaccurate coding. JTS then works with key organizational stakeholders to create the following: 

  • More accurate, complete and compliant coding
  • Increased revenue by building a roadmap for reducing lost revenue caused by incomplete or inaccurate coding
  • Resources to retrospectively correct coding and rebill third party payers
  • A means to concurrently find and correct coding and billing errors
  • A program through which coders, CDI and clinical staff learn where to focus energy for improved documentation quality, improved patient care, and enhanced revenue
  • Enable a clearer path through which clinicians and CDI staff can improve documentation, facilitate better coding, and generate the appropriate reimbursement

Facts about JTS Health Partners

  • Holding company, JTS Ventures, Inc., established in 2002
  • Healthcare management consulting subsidiary, JTS Health Partners formed in 2009
  • A state-of-the-art virtual organization with a broad and growing footprint
  • Current team represents 90+ members operating in 16 states within the United States
  • Headquarters based in Norcross, Georgia