Cashflow
Coding Audits
Find the leaks before the payer does.
Tristate conducts prospective and retrospective coding audits, identifies compliance exposure and undercoding, and delivers a prioritized corrective action plan, so you fix revenue and risk issues before a payer audit finds them for you.
What You Get
- Prospective and retrospective coding audit cycles
- Random and focused audit sample selection
- Root-cause analysis and corrective action plans
- Detailed findings reports with code-level specificity
What We Need From You
Chart/billing record access, provider availability for findings review.
Typical Timeline
Audit findings delivered within agreed scope timeline.
Why Tristate
“Audit scope excludes medical necessity determinations unless explicitly requested, keeping findings actionable and within scope.”