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:

  • cfiles31791

Idaho Hospital Has Software Glitch Causing Billing Problems

April 23rd, 2018|Comments Off on Idaho Hospital Has Software Glitch Causing Billing Problems

Benewah Community Hospital, situated in St. Maries, Idaho, faces hard times after it implemented new software that caused several heavy billing problems. The hospital in Benewah County worked with Cerner for over a year to […]

  • american-eagle-flag-3x5-17

OIG Report Reminds Providers to Review their Billing Practices

April 19th, 2018|Comments Off on OIG Report Reminds Providers to Review their Billing Practices

Recently, a reort issued by the U.S. Department of HHS, Office of Inspector General, estimates that over 60% of claims submitted to Medicare for outpatient PT fails to comply with the correct requirements. The OIG […]

  • Hauptstrasse_Nummer_16

16 ASC revenue cycle management companies you need to know

April 16th, 2018|Comments Off on 16 ASC revenue cycle management companies you need to know

Here are more than 16 companies that provide revenue cycle management solutions, services and financing options to ASCs and their patients:

Bolder Healthcare Solutions
CareCredit 
Clariti Health
CollectRx 
GeBBS Healthcare Solutions
HIS 
In2itive Business Solutions
[…]

  • fraud13n-1-web

New York Doctor Sentenced To 13 Years In Prison For Multi-million Dollar Health Care Fraud

April 12th, 2018|Comments Off on New York Doctor Sentenced To 13 Years In Prison For Multi-million Dollar Health Care Fraud

A New York surgeon who practiced at hospitals in Brooklyn and Long Island was sentenced today to 156  months in prison for his role in a scheme that involved the submission of millions of dollars […]