Coding and Consulting Division

        Consultative Services

We provide documentation review, coding and expert witness services on a consultative basis.

• Detailed chart note review and analysis for Evaluation and Management codes (E/M) and procedures.
• Review of medical necessity.
• In-service training sessions to providers.

We work with:

• Private Practices.
• Academic Faculty Practice Plans.
• Law firms in the following capacities:

Ø      Chart review analysis (documentation, coding).

Ø      Review of extrapolated charts chosen by insurance companies.

Ø      Attendance at insurance hearings.

Ø      In-service training sessions with providers.

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Compliance Check-Up and Risk Assessment Program

Employing the proper Evaluation and Management Code brings you steady and correct reimbursement, fewer claim rejections and a smooth relationship with Medicare and various insurance carriers. The wrong code can create serious problems for your practice.

Our Compliance and Risk Assessment Program is a three-step program that allows our certified coding experts to help you quickly bring your practice up to speed regarding the critical compliance issues. We'll analyze your practice and let you know if you're following the documentation guidelines, developed by CMS and the AMA, that are used by Medicare and other carriers.

Step One-Thorough Chart Note Review
We audit your patient chart notes extensively and determine the appropriate Evaluation and Management codes to see if your practice consistently abides by the documentation guidelines.

 

Step Two-Customized Training
We establish a round of training sessions to ensure that all doctors are well versed in the requirements for specific levels of Evaluation and Management codes.

 

Step Three-Compliance Template
We assist your practice with developing preprinted forms for your chart notes within your specialty to guide you through the required components that comprise the documentation guidelines.

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