Audit Support and Compliance ServicesFor a quote or more information CLICK HERE THE NEED: With the countless challenges that impact healthcare providers today, it has never been more important to properly and sufficiently document in order to satisfy reporting requirements for E&M visits, procedures, supplies and other medical and ancillary services that your organization provides. The 2021 updates to the AMA’s CPT and to CMS’ billing requirements makes this area quite important and timely. HOW WE HELP: ArchProCoding performs thousands of documentation and coding reviews each year. The reviews we perform encompass Evaluation and Management (E&M) services and the other applicable aspects of coding and billing for providers in Rural Health Clinics (RHCs), Community Health (FQHCs), Critical Access Hospitals (CAHs), and small rural hospitals. ArchProCoding offers a number of audit strategies based on the individual client’s situational needs. WHAT WE DO: Considering the massive 2021 updates to the CPT and CMS rules around how to document and report your services – now is the time to use your actual progress notes to help educate your clinical providers of their responsibilities, capturing complete and timely documentation and reporting their codes to the revenue cycle team. In our experience clinical providers gain more insight and awareness of the complicated rules when they learn about coding and billing from their own notes, as opposed to a traditional training setting only. In combination – training and audits provides a full circle approach that is sure to help you “Learn More to Earn More”. The typical audit/review process for each provider we review includes an encounter selection process of 10-20 encounters typically selected for each provider. We suggest a sample reflecting a wide array of services that represents the full variety of services you provide (e.g., new patients, established patients, preventive medicine, minor procedures, etc.). Documentation for each case will be carefully considered as described below:
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