Coding and Billing Consulting
Our coding advisors also bring to the table a deep bench of expertise in coding and billing best practices and procedures and can provide assistance related to:
- Performing coding compliance reviews for facility and professional services, as well as specialty providers
- Assisting legal counsel with documentation, coding and billing reviews and engagements under attorney-client privilege
- Providing coding compliance education for physicians, non-physician practitioners and therapists
- Serving as co-sourced resources to conduct coding compliance auditing/monitoring for compliance and/or internal audit departments
- Providing documentation analysis of physician and non-physician practitioner coding and billing of evaluation and management and procedural services to identify risks and revenue opportunities, including high-risk areas such as:
- ‘Incident-To’
- Scribe documentation
- Copy/paste overutilization
- Split/shared visits
- Physicians at teaching hospitals (PATH)
- Critical care services
- Inpatient rehabilitation facility therapy
- Analyzing provider evaluation and management bell curves to identify risks and revenue opportunities
- Providing a risk-based approach to monitoring procedural and diagnosis code assignment and modifier application for physician practices and hospital outpatient services including:
- Emergency room charge capture
- HBO therapy
- Facility evaluation and management
- Radiology
- Laboratory
- Chemotherapy/oncology
- Infusion services
- Telemedicine compliance and education
- Optometry
- Covid-19 ICD-10 reporting
- Behavioral health
- Reviewing documentation for accurate hierarchical condition category capture, gap analysis and reporting
