Accurate physician documentation and coding is vital to the overall health of your practice. Today in our industry, the under-coding of physician services is just as prevalent as over-coding. Either way, it is a risk you just cannot afford.
Documentation and Coding Analysis
Our certified coders will review your medical record documentation from beginning to end of a patient encounter to determine if your practice is documenting and coding services appropriately to ensure compliance with all payers, in addition to capturing all deserved reimbursement.
At the conclusion of the analysis, your practice is presented with a written report that demonstrates findings of the analysis, including the rationale to support any suggested recommendations. This service can be followed by an onsite presentation to ensure your physicians have the support necessary to implement proven best practices.
Documentation and Coding Quick Check
This abbreviated version of our comprehensive analysis provides a quick snapshot of current coding practices and can be utilized as a spot check for the accurate assignment of level of care, type of care and reporting of procedures. Our certified consultants will review physician or second-level practitioner documentation and coding to ensure accuracy.
Documentation and Coding Payer Comparative Analysis
Our payer comparative analysis is for offices that have recently undergone an audit resulting in a requirement to return previously paid reimbursements. Our consultants review the medical record documentation provided to the payer and provide a written comparative analysis outlining any differentiation. This service provides an audit of the auditor, clarification of any deficiencies reported and guidance to avoid similar issues.