| Our Capabilities & Services
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Like most professionals, we have developed particular expertise in certain specialties. Below you'll find a list of services that cross specialty lines.
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Chart Audits:
Baseline, focused review, and annual
check up
prospective
retrospective
Mail-in audits available
Performed by a CPC
More than just determining the level of E&M service!
specialty specific
Train-the-trainer programs for ongoing
auditing and monitoring of your
compliance program
Coding:
CPT and ICD-9 code review for:
completeness
accuracy
proper documentation
proper reimbursement
| Special Expertise:
Responding to Medicare/Payer Audits
Pre and Post Payment Review
Additional Documentation Requests (ADRs)
Recovery Audit Contractor (RAC) Requests
Voluntary Refunds
Independent Review Organization (IRO)
Speaking Engagements/Lecture Series
Education:
Physicians
Non-Physician Practitioners (NPPs)
Therapists
Ancillary Staff
Exectutive Management
Individualized for your practice!
On-site or Interactive Webinars
Modifiers
Local Coverage Determinations (LCDs)
Documentation/Reimbursement
Pay for Performance (e.g., PQRI, E-Prescribing)
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Credentialing:
Medicare:
Individual Providers (e.g., Physicians/NPPs)
Group Practices
IDTFs/Mobile Imaging
DME Suppliers
Health Care Clinic Licenses
Health Care Clinic Establishlment Permit
CLIA
Policies & Procedures:
Corporate Compliance
HIPAA
Personnel
Pain Clinics
Risk Management/Quality Assurance
| Compliance:
Risk assessments per the OIGs compliance
guidance
coding and billing
documentation
in the medical record
on the claim
Reasonable and necessary services
medical necessity guidelines
advance beneficiary notices
Risk assessments & policies per the HIPAA
regulations
privacy and security
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