2301 River Road
Suite 302
Louisville, KY 40206
(502)426-9680
888-426-9680
(502)426-8272 fax

Coding and Compliance

MDCodingAudit is a service developed to assist physicians, nationwide, in accurately billing for services rendered. If your practice is "under-coding", our audits will significantly improve your practice revenues. If your practice is "over-coding", we can help save you from health plan penalties and possible fines from CMS (formerly HCFA) by clarifying specifics for each of the three E&M categories (History of Present Illness, Exam and Medical Decision Making) and making suggestions based on the information found in the initial audit.

We have Certified Professional Coders (CPCs) on staff and all the tools necessary to assist your office with an initial chart audit and if desired, the successful implementation of a compliance program.

Our two product lines:

Chart Audits
Coding Compliance Program Services

In our experience, over 40% of physicians under code more than 20% of their office visits
– costing each physician in excess of $30,000 per year !

OUR WELL DESIGNED CODING & COMPLIANCE PROGRAM WILL:

  • Capture legitimately earned lost physician revenue
  • Speed and optimize proper payment of claims
  • Minimize billing mistakes
  • Reduce the chances that an audit will be conducted by CMS (HCFA) or the OIG.
  • Describe how to avoid conflicts with the self-referral and anti-kickback statutes.1
  • Identify how to reduce under coding and over coding by over 50%.

Our compliance program also sends an important message to a physician practices' employees that while the practice recognizes that mistakes will occur, employees have been formally trained so that any errors may be corrected.1 (Eliminating the possibility of a “whistle blower”)
1 -- Office of Inspector General’s Compliance Program Guidelines for Individual and Small Group Physician Practices.

Physician Practices May Choose to Receive the Following:

  • Coding performance documented at the group and individual level.
  • Detail analysis to reflect which of the documentation areas need additional monitoring (ex: History of
    Present Illness, Exam and Medical Decision Making).
  • Analysis to include potential lost revenue when compared to Medicare fee schedule.
  • Education customized for all identified risk areas identified for the specific practice.
  • Compliance Program Handbook with “Seven Key Components” for your practice to adopt.

 


Great pricing on lab, medical, printing options, consulting services and office supplies.


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It is our goal to provide you with professionally designed services at a reasonable price...and we're here for you whenever you need us.

 

 

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