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!

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Company Carolina Physical Therapy Will Pay almost $800K to Settle False Billing Allegations

May 22nd, 2019|Comments Off on Company Carolina Physical Therapy Will Pay almost $800K to Settle False Billing Allegations

US Attorney Sherri A. Lydon made the announcement that the US Attorney’s Office for South Carolina has settled numerous claims of prolific health care fraud with Carolina Physical Therapy (also called “Carolina PT” for short).  [...]

These ten doctor specialties generate the foremost revenue for hospitals

May 16th, 2019|Comments Off on These ten doctor specialties generate the foremost revenue for hospitals

The amount of revenue physicians generate for hospitals is usually significantly over their annual salaries, in keeping with a recent survey by medical practitioner staffing firm Merritt Hawkins. The survey was emailed to roughly three thousand hospital CFOs and different money managers [...]

Emergency vehicle Owner Sent to Prison for Health Care Fraud

May 3rd, 2019|Comments Off on Emergency vehicle Owner Sent to Prison for Health Care Fraud

A 46-year-old Houston man has been requested to Federal jail following his conviction of scheme to submit human services extortion, reported U.S. Lawyer Ryan K. Patrick. Keeble Lovall conceded July 31, 2018, after under two [...]

Feds to sue Senator Steve Dickerson and other Pain Clinic proprietors over Forgery and Fraud Allegations

May 2nd, 2019|Comments Off on Feds to sue Senator Steve Dickerson and other Pain Clinic proprietors over Forgery and Fraud Allegations

Federal and State Prosecutors are moving to file lawsuits charging Tennessee Senator Steve Dickerson and different proprietors of an immense Pain Management corporation of cheating the US Government with long stretches of unjustified tests, untrustworthy [...]