Our
Outpatient Medical Records Review focuses
on compliance with all Government regulations,
and includes accuracy and reimbursement
issues as well. This Review encompasses
Ambulatory Surgery cases, Diagnostics
not hard coded into the Charge Master,
Observation cases, Emergency Room visits
with their UB-04s and Detail Bills
to insure accuracy when billing claims.
This Review process includes ICD-9-CM
diagnosis codes, CPT procedure codes,
Evaluation and Management (E&M)
codes, an evaluation of the level of
documentation, NCCI edits, the utilization
of Modifiers, and APCs when apropos.
While on-site, an educational session(s)
can be provided for your staff and/or
physicians, and CE credits may be awarded
for attendance by their professional
organizations. A resolution session
will be conducted at the end of the
on-site visit, where all errors and
discrepancies will be discussed, and
our initial recommendations will be
presented. A comprehensive, written
report will be submitted subsequent
to the on-site visit.
|
