Medical Claim Care   Professional Physician Services

Code Consulting

Our AAPC certified staff will provide you the tools to avoid financial consequences due to inappropriate coding. Feedback from the analysis will guide you toward meeting requirements with CMS and other organizational regulated mandates. During a typical analysis, Medical Claim Care will:

  • Compare charged E/M, surgical, and ancillary codes against medical chart documentation

  • Verify ICD-9 codes provide diagnostic justification with corresponding CPT codes/charges

  • Verify CPT codes chosen provide adequate and optimal reimbursement

  • Advise on potential penalty areas based on our findings

  • Recommend and assist in developing and implementing any necessary changes to documentation formats and/or structure templates

  • Outline and help create a Medicare Compliance Program

  • Train staff for Medicare chart compliance

PROFESSIONAL SERVICES
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Billing Consulting
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Claim Services
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Coding Consulting
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Workflow/Process Analysis
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Education & Training
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EHR Preparedness
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