Coding and Billing Compliance Review

 

 

 

 

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Healthcare Consulting Services, LLC, can assist physician practices with compliance issues. The Health and Human Services Office of Inspector General and Justice Department have instructed their investigators to increase their efforts in the area of fraud and abuse by physicians. Never has it been so important for hospital-owned or individual physician practices to be in compliance with all applicable rules and regulations.

Our professionals will assess your physician practice’s coding, documentation and billing practices to help identify specific areas of Medicare non-compliance.

Our experience has been that periodic physician coding and compliance analyses reduce the risk of:

Submission of false claims

Investigation by "focused medical review"

Inappropriate billing due to upcoding and/or unbundling

Increase in Medicare claim denials

Our team of professionals provide guidance to keep your business profitable and in compliance with complex, ever-changing Medicare coding and billing issues. We will work to help ensure that physician billing practices are in compliance with Medicare guidelines. We will identify non-compliance issues as well as areas where improvement is needed in obtaining correct reimbursement. After the completion of our analysis, we will provide a detailed report, which identifies claim by claim, all potential compliance issues, documentation and coding standards.

Our healthcare consultants are experienced in working with physician practices of all specialties and sizes. If you would like additional information, please contact Kam McQuay at (317) 633-4708, Ext. 311 or e-mail at kmcquay@hcs-healthcare.com.

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