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Services

Coding Compliance

Coding and Compliance Reviews

Compliance watchdogs are everywhere making certain that you are billing appropriately as well as protecting the private health care information for your patients. The latest statistics say 20% of patients are fearful their medical information will be misused. CMS states that 30% of all claims are rejected. Do you know if your coding and documentation measures up? Do you know if there are leaks in your clinic regarding the protection of patient health information?

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The Service

  • HIPAA Compliance Review

  • Compliance Plan Review

  • Evaluation/Management Documentation Review

  • National Specialty Specific Evaluation/Management code comparisons

  • CPT Procedure Code Documentation Review

  • RAC Compliance Audits

  • ZPIC Investigations

 

The Benefit

  • Hands-on review of individual compliance issues

  • Identification of potential "red flags" in coding situations

  • Classification of coding errors

  • Individualized training specific for the provider's needs

Financial Snapshot

Financial Snapshot

By definition, a snapshot is "an impression or view of something". When a financial snapshot is performed, it allows you to get an impression or view of your accounts receivable by identifying significant red flags. Do you know the pulse of your practice?

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The Service

  • Statistical benchmarking of accounts receivable

  • Measurement of A/R multiple

  • Gross and net collection rate analysis

  • A/R 90-plus past-due analysis

  • Establishment of A/R targeted goals

  • Monthly monitoring of A/R targeted goals

 

The Benefit

  • Financial Snapshot

  • Identification of potential areas of financial risk

  • The setting of obtainable goals for your accounts receivable

  • An independent monthly review to provide a quick response to potential problems

Cash Flow

Cash-Flow Assessment

All corporations should have internal control protocols established for handling of monies collected from customers (i.e. patients and insurance companies) and proper monitoring methods. Established proven protocols provide protection for the employee and the employer. What is your protocol?

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The Service

  • Evaluation of cash and insurance companies collection controls

  • Analysis of employee division of duties

  • Evaluation of accounts payable systems and controls

  • Analysis of the balancing system for optimum protection

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The Benefit

  • Honest evaluation of internal controls relating to monies collected within the organization

  • Optimize protection for the employee and the organization

  • Recommendations for improvement by a qualified neutral party

Accounts Receivable

Accounts Receivable Operational Review

It is now a medical standard for patients to see their physicians for a "preventive exam". The hope is the physician will diagnose a problem early enough to prevent a catastrophic situation. If authorized in time, an Accounts Receivable Operational Review is very similar to a "preventive exam".

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The Service

  • Statistical benchmarking of accounts receivable

  • Analysis of the internal process of payment, adjustment, and charge postings

  • Establishment of A/R targets

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The Benefit

  • Establishment of key financial indicators

  • Independent analysis of clinic billing process

Seminars Training

Seminars & Training

With the continual change of federal rules and regulations, it has become impossible for you or your staff to stay on top of the changes. In addition, staff turnover means a constant influx of new employees, in many cases, without the skills to perform efficiently. Continuing education should not be neglected on the business side of your practice. Would you neglect your continuing medical education?

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The Service

  • Contractor Rules & Updates

  • Federal Regulatory Compliance Workshops

  • Coding Seminars

  • Training sessions designed specifically for your needs – Individual groups or organization

  • Seminars-Group or organization

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The Benefit

  • Continuing education for your staff at reasonable rates

  • Up-to-date education for your organization

  • One-on-One approach to training through seminars

  • One-on-One approach to staff training in specific areas of need

"Renee's expertise is second to none - she has an uncanny ability to provide quick insight regarding complex billing and coding issues. Her ability to draw on her knowledge and serve clients with such knowledge is remarkable.

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Renee grasps her client's own issues and needs. She makes them her own. Because of the way she personally adopts her client's issues and needs, she genuinely helps us provide a better service to our own clients."

 

– MICHAEL MALLOY, PARTNER, CONSULTING SERVICES - J. TAYLOR & ASSOCIATES

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