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Coding and Compliance Services

Our experienced coders are up to date on the ever changing rules and regulations. Coding services and education may be on-site or remotely.  Upon assessment, the services integrate with client’s needs.  Our experts will review your practice procedures and guidelines, and make recommendations to improve your processes regarding coding and billing policies, compliance reviews, and risk management audits.  We offer Coding Education and Support, HCC Risk Management, Compliance Plan Development, along with Physician and Staff Training.

Coding Education and Support Medical services are reimbursed based upon the codes submitted. The rules are complex and ever changing. Documentation/ coding reviews can be a valuable tool in uncovering inadequacies. Results demonstrate more accurate claims submission, decreased denials, improved cash flow, compliance with government and payor regulations, and increased employee knowledge and retention. Our AAPC/AHIMA-certified staff services include:

  • Documentation/coding reviews with the physician(s) and their staff

  • Charge entry reviews

  • Analysis of coding policy and procedures

  • Analysis of “Coding Patterns”

  • Superbill/charge master review and documentation template development

  • Customized training in CPT-4, IDC-9, HCPCS coding, modifiers

  • Annual coding updates

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