Data Audit and Payment Assurance

You need to make sure that payments made for healthcare services accurately reflect the care delivered.

 

We ensure patient information is coded, recorded, classified and reported in line with national guidance and local requirements. As independent experts we provide assurance to senior teams and external organisations that healthcare data, and payments based on this data, are accurate.

We are the main provider of data quality audits and reviews to the NHS and private healthcare sector. Our auditors have conducted more than 2,000 audits, working at every acute trust in England. We audit:

  • Clinical coding – and also deliver Information Governance Toolkit (IGT) audits
  • Zero length of stay (0LoS) emergency admissions classifications
  • Maternity pathways
  • Day case vs. outpatient classifications
  • Outpatient procedures
  • Mental health clustering
  • Critical care
  • Pass-through payments
  • All other datasets e.g. A&E, pathology, excluded drugs and district nursing