Our
Physicians’ Review of medical
records focuses on the specialties
and physicians that the client selects.
They can be hospital based, ER Clinic
practitioners, private office, or any
combination. This includes, but is
not limited to: Emergency Room, Anesthesia,
Surgery, Family Practice, and all other
specialties. The Review will focus
on compliance with government guidelines,
and accurate reimbursement. The Review
includes ICD-9-CM Diagnosis codes,
CPT Procedure codes, Evaluation and
Management (E&M) codes, #1500 Billing
Forms, Detail Bills, the proper use
of Modifiers, and the appropriate level
of Documentation. All errors and discrepancies
identified will be thoroughly discussed,
and recommendations for change will
be made. A comprehensive, written report
will be submitted after the end of
the on-site visit, in a timely manner.
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