Medical Coding Compliance Department Support

COMPLIANCE OFFICE SUPPORT

Many multispecialty healthcare systems, academic faculty practices, and large medical groups have established central Compliance Offices, usually staffed with small number of coders. They are responsible for compliance reviews of all of the many specialties and subspecialties represented by the practice’s physicians. Considering the unique clinical characteristics of each specialty and the complexity and differences of the coding rules and regulations between the various specialties, we are absolutely convinced that it is virtually impossible for one person to know it all. The fund-of-knowledge encompassing the totality of medicine is simply too vast. This is why physicians specialize, and is the very same reason why we organized The Coding Network along a similar specialty-driven structure. Experience has taught us, over and over, that matching the coder/auditor’s expertise to a specific specialty is the only way to assure maximal accuracy and compliance.

We can support your Compliance Office’s efforts very economically. Our audit findings have the additional credibility of being from an outside independent firm with specialty-specific expertise. Your employed compliance staff can then focus their energy and resources on working one-on-one with each provider to improve the quality of their medical record documentation. This totally changes the dynamics of the provider-compliance relationship from one of adversarial “policing” to into one of teamwork to reduce legal risks and optimize revenues.

With our accuracy guarantee coupled with no monthly or annual minimums or “subscription fees,” we can cost-effectively support your Compliance Officer with no fixed expenses!

Latest Blog Posts:

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$65M False Claims Act Lawsuit Shows Need To Improve Coding & CDI Compliance

September 19th, 2018|Comments Off on $65M False Claims Act Lawsuit Shows Need To Improve Coding & CDI Compliance

In August, Ontario, Calif.- based Prime Healthcare Services paid $65 million to settle assertions it disregarded the False Claims Act by conceding patients who just required outpatient mind and participating in upcoding.

Read The Full Story […]

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AMA Releases 335 Coding Changes For 2019

September 14th, 2018|Comments Off on AMA Releases 335 Coding Changes For 2019

The American Medical Association has released the 2019 Current Procedural Terminology code set.

The code set was released Aug. 31, and the AMA announced the release Sept. 5.

Six things to know:

1. The new code set consists […]

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Detroit Podiatrist Goes To Prison for Health Care Fraud

September 13th, 2018|Comments Off on Detroit Podiatrist Goes To Prison for Health Care Fraud

A Detroit-territory podiatrist was condemned to 28 months in jail today for his investment in a $1 million plan including podiatry benefits that were charged to Medicare however were never rendered.

Read The Full Story Here!

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AMA Releases 335 Coding Changes For 2019

September 7th, 2018|Comments Off on AMA Releases 335 Coding Changes For 2019

The American Medical Association has released the 2019 Current Procedural Terminology code set.

The code set was released Aug. 31, and the AMA announced the release Sept. 5.

Six things to know:

1. The new code set consists […]