Payment by Results (PbR) has transformed the role of clinical coding in healthcare. To help maximise revenue flows and meet demanding corporate and financial governance standards, Tribal provides expert clinical coding audit services in accordance with Information Governance and PbR Data Assurance Framework standards.
Our NHS Connecting for Health registered clinical coding auditors frequently work closely with the national bodies responsible for audit and standards.
They aim to:
- monitor for potential non-compliance with national coding standards
- identify causes of coding inconsistencies
- propose strategies for improving coding quality
- make recommendations and empower trusts to be proactive with their initiatives
- establish the basis for evidence-based dialogue between commissioners and providers.
We can also evaluate the reliability of coded data for the purposes of funding, evaluating and planning health services.
healthservices@tribalgroup.com
“We worked closely with Westhill (a part of Tribal) to better understand our clinical information and in particular how our coded activity translates to the HRGs that underpin PbR. We now have processes in place which ensure we can accurately assign tariffs to surgical procedures.”
Diane Hendry, Commercial Director, BMI Healthcare