A practice compliance analysis can significantly reduce or eliminate fraud and abuse risk or penalties. It also can improve revenue management and shorten your revenue cycle. Initiate an analysis using these basic tools:
E/M utilization comparisons.
ICD-9-CM compliance and medical necessity reviews.
Charge master and superbill evaluation.
Step 2
Clarify areas of concern with an in-depth chart to claim review that can identify:
Unusual patterns of E/M utilization.
Potential revenue opportunities.
Claims clean-up opportunities.
Inappropriate linking of diagnosis to procedures.
Step 3
Our experienced consultants will customize and deliver an education and training program targeting your identified problems.