ACI appreciates that optimizing diagnostic billing requires an understanding of the regulatory requirements not only of billing, but Medicare credentialing of both physicians and staff. Capturing accurate CPT codes, modifiers, correct place of service and dates of service are critical for proper reimbursement. More than any other healthcare provider, being paid for your services is dependent on someone else: The ordering physician.
It’s clear that the Medicare program is paying more attention to signed, documented physician orders when reviewing claims for diagnostic services. And, as all government budgets tighten, it should not be surprising that the Medicare program will continue to look for potential overpayments through the audit process. Acevedo Consulting was deeply involved with the Recovery Audit Contractor’s audits during the 3-year Florida demonstration program. Allow our experiences and expertise to aid you in preparing for the inevitable audit.
Whether a mobile diagnostic company, teleradiology group or an IDTF, ACI can assist you with developing and implementing a compliance program that meets your needs. Our understanding of and particular expertise in the industry’s nuances is paramount to balancing risk and practicality while optimizing revenue.
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CONFIDENTIALITY STATEMENT
ACI recognizes that during the review process, our team will have access to patient and proprietary information that needs to be protected from improper disclosure. Many of our projects are conducted under the attorney-client privilege doctrine and we have had the opportunity to work with some of the finest health care law firms in the industry. In consideration of the trust placed in us, ACI agrees that the firm will not at any time or in any manner, either directly or indirectly, use any information for its own benefit, or divulge, disclose, or communicate in any manner any information to any third party without the prior written consent of the client, except as required by law. ACI will protect your information and treat it as strictly confidential.
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