Coding and Audits | Comprehensive Revenue Solutions

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Is Your Practice Prepared for An Audit?

THE CODING CHALLENGE:

Our experience has shown that deploying certified coders on the front end of the billing process results in fewer denials by Medicare and Private Insurance Companies. However, many medical professionals do not have certified coders on staff, because it is too costly, as they typically demand high salaries, or there is a shortage of certified coders in their area. While providers are trained in ICD-9 and CPT coding, these codes are frequently modified and the requirements to assign specific codes to encounters are changed. Incorrectly assigning a diagnosis code or procedure code could result in decreased revenue (under coding), denied claims because the diagnosis and procedure do not match and over payment for services (over-coding) which in turn could lead to problems for the medical provider if CMS or private insurance companies audit their medical charts/records.

THE CODING SOLUTION:

Comprehensive Revenue Solutions offers coding and auditing services through an extensive network of American Academy of Professional Coders (AAPC) certified medical coders with years of experience, assuring accurate and complete coding that is fully compliant with federal billing and coding regulations.

Advantage of outsourcing your coding to Comprehensive Revenue Solutions:

98% accuracy and compliance with all government regulations
Fewer denials and increased reimbursement.
Elimination of recruiting and training, reduced labor costs and improved accuracy.
All coders HIPPA compliant and have undergone AAPC coding training.
Coders utilize the best coding software, tools and resources in the industry.
Minimize your auudit risk.
Experience-certified coders with knowledge to easily transition to ICD-10

During the course of just over 12 months, the government issued RAC Auditors collected over $700 million dollars from hospitals and private practitioners. Is your practice or clinic next?

We offer a baseline audit that will prepare you for the Medicare RAC audits and minimize your risk. Regardless if your specialty is cardiology, internal medicine, oncology, or another, your audit is assigned to a coder familiar with the needs of your billing and documentation. Once the audit passes the first level of review it is then assigned to a second level for quality control. Coders also have extensive practice in performing audits for government programs.

Within a week of completion, you are presented with a confidential, comprehensive report detailing the findings along with recommendations. Further educational webinars with a live instructor are available upon request.

To learn more about the Medicare RAC Audit click here for FAQ…