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We offer 360 degree compliance audit services to guide practices and hospitals. This service reduces denials, ensures regulatory compliance, and improves cash flow, in addition to preventing exposure to financial risk from government entities and payer audits.

Chart Audits - What we provide:

  • Analysis of historical charts, associated documentation and reimbursement trends.
  • Identify patterns and tendencies in coding methods.
  • Detailed report of findings.
  • Recommendations and cross-references regarding industry and specialty best practices.

Coding compliance:

  • Initiate the process of scrutinizing historical and current claims.
  • Determine whether the claims are submitted in accordance with Local and National Coverage Determinations and payer-specific rules (LCD).
  • Establish modifier usage correctness based on correct Coding Initiatives.
  • Ensure relational coding is being done correctly.
  • Provide a coding compliance report card and associated training for the practice.
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