Our Emergency Room Review includes, but is not limited to E&M Criteria, Charge Master, Charge Sheets, and Compliance. The main focus of this Review is on the accuracy of ICD-9-CM Diagnosis Codes, CPT Procedure Codes, Evaluation and Management (E&M Codes), the utilization of Modifiers, and the level of Documentation. UB-04s and Detail Bills are also reviewed for compliance, and when appropriate, the ER Section of the Charge Master is also validated. Education will be provided for your staff, and a presentation can be arranged for your physicians; at no additional cost. A comprehensive written report will be submitted in a timely manner.

• Accurate ICD-9-CM Diagnosis Codes
• Accurate CPT Procedure Codes
• Accurate levels of Evaluation & Management (E&M) Assigned
• Appropriate utilization of Modifiers
• Appropriate use of NCCI Edits
• Complete Documentation
• Billing Accuracy
• Compliance

• Medicare Patient Focus
• Facility Coding and Billing
• Charge Sheets
• Medical Records
• UB-04s
• Detail Bills
• Diagnostic Reports
• Education
• Compliance
• Reporting