The objective of a CODING AUDIT is to enable a practice to -
- Code, charge, and file claims in such a way for OPTIMAL REIMBURSEMENT
- Ensure that ALL SERVICES provided are rendered
- Ensure that the practice is COMPLIANT with policies and regulations
A CODING AUDIT brings a Coding/Reimbursement specialist in to ensure that the entire coding-billing-reimbursement-documentation process reveals that -
- Services are coded correctly
- The practice is compliant with Medicare and private payors
- The practice bills for all the (billable) services
- Documentation supports the codes used
A CODING AUDIT includes a written report and a follow-up audit with instructions for correcting any detected problems. This will be presented by the Coding/Reimbursement Specialist, at which time all areas of review will be discussed in detail. Hands-on training for both physicians and staff is an option.
The CODING AUDIT SERVICE is provided by Coding/Reimbursement specialists who are Certified Professional Coders. These specially trained individuals -
- Review all of the activities involved in the reimbursement system and process (charging, pricing, claim filing, claim tracking, EOB documentation, etc.)
- Spend time with each key staff person, providing immediate, hands-on training
- Provide individual consultation to physicians
- Gather data, materials and information from your office to complete our study
We also offer specially priced audits for those offices who may only desire to have an audit with a report of findings mailed back to them.
Please feel free to call our office at 1-800-635-4040 regarding this or any other service offered by our department. We would be pleased to prepare a proposal for your organization. You may also contact us by e-mail: coding@drsmgmt.com
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