Coding and Chart Reviews
As CPT, HCPCS and ICD codes change, or as your organization adds more services, let us guide you towards complete and accurate coding. Our credentialed staff can help ensure you are aware of the documentation requirements and get you on your way to correct coding for proper reimbursement.
Whether you have a formal compliance program or not, one of the only ways to know if your documentation and coding meets the payers' guidelines is to have an independent, objective chart review.
Depending on your needs and focus of the review, there are varying approaches that Acevedo Consulting provides. Our review process is quite comprehensive. Utilizing the risk areas outlined in the OIG's guidance for physician compliance, we do not only check that the physician's documentation supports the services billed. If the information is provided to us, additional areas may include the appropriate use of modifiers, medical necessity of serve, diagnosis coding, incident-to services and any inappropriate unbundling.
The services provided by Acevedo Consulting will be performed in accordance with applicable professional standards. All chart audits are performed by a Certified Professional Coder (CPC).
Reviews can be performed:
Prospective or retrospective
Onsite, or remote via EHR access or record upload to our secure client portal.
Commonly requested reviews include:
Annual "Check Up"