Physician Evaluation & Management Coding / Auditing Services
…when should we append Modifier 24?
…why are we receiving 99215 denials?
…how do we know if our reimbursement is correct?
…could we be audited?
Assigning the correct level of service is not as easy as it sounds, especially when documentation doesn't support your level of service. Over-coding is a serious problem which invites government audits and other headaches, but under-coding is equally troubling. CMS reports providers were underpaid $1.06 billion last year primarily from established patient office visits.
Relax, we've got your back!
Forward thinking managers see the value in auditing their new providers and physician staff. We agree. If you've noticed an increase in third party audits, or an increase in claim denials, or if it's been more than a year since your last audit, it may be time to call Joe Farris at HIP (866) 622-8300.
Here's what you can expect:
Highly responsive and knowledgeable auditors
Quick audit turnaround time
Detailed findings & recommendations report
Monitoring of progress
Credentialed, Experienced staff conduct ongoing concurrent documentation review of Inpatient and Outpatient Accounts
Education provided to clinicians to improve specific documentation areas.
Periodic audits conducted retrospectively to assess CDI impact.