| APC Review |
Data Analysis Module
Improve outpatient coding with an extensive review of outpatient billing using UB-92 data to identify compliance risks areas associated with Medicare claims.
Review Module
Improve billing accuracy with an onsite evaluation that compares billed codes with record documentation.
Each module may be contracted separately. |
| Coding Compliance Review |
Ensure appropriate reimbursement for your facility with an evaluation of inpatient and/or outpatient medical records. |
E&M Review
Emergency Departments
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Determine the accuracy and appropriateness of E&M professional/facility code assignment with a review of your facility's practitioner records. |
Physician Office Coding Review
Diagnosis
Procedure
E&M
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Improve code assignment and ensure proper reimbursement with a comprehensive evaluation of encounter records and claim form documents randomly selected from each facility practitioner. |
| Coding Support |
Supplement your current staffing with our highly qualified, credentialed, and experienced coding specialists. Short- or long-term. |
| Medicare Advantage HCC Acuity Auditing |
Ensure correct claims data and generate appropriate risk-adjusted reimbursement for Medicare Advantage patients through retrospective evaluation of physician ICD-9 coding. Includes:
HCC account review selection
Data analysis and data mining
Physician and coding staff education
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