Are you being paid accurately for your efforts?
Chart audits provide an unbiased look at the coding activity of your practice. Our auditors can readily identify instances of over-coding and other poor coding practices.
An Essential Tool
The word “audit” might automatically invoke a sense of dread as you think of government investigators combing through your files. The reality is that almost any aspect of healthcare can be audited, and many would agree that those focusing on payer reimbursement can be the costliest. Independent chart audits of documentation and codes billed are an essential tool to protect your practice from liability.
With the growing scrutiny from payers and federal regulatory agencies, chart audits help keep billing and coding errors in check. An independent audit might best be viewed as preventative care for your medical records. It allows your organization to proactively identify errors, so that corrective measures may be implemented.
It’s important that you understand what the problems are in your records and how to fix them.
Safeguard Against Errors That May Pose a Compliance Risk
When it comes to documentation and coding issues, it is far better for these errors to be found by an independent auditor rather than a government agency or payer. The False Claims Act holds the physician and group practice liable for false claims, as well as any related discrepancies in billing. As with any law, ignorance is no excuse. The deliberate aim to defraud is not needed when it comes to penalties and/or prosecution.
A comprehensive review by our team of certified auditors will assess the accuracy and compliance of your organization’s documentation and coding activity, compared to current rules, regulations, and guidelines and will:
- Ensure encounters are properly documented to support the reported level of service.
- Identify areas of potential risk that may prompt payer or regulatory agency audits.
- Identify coding inconsistencies and documentation deficiencies from repeated billing/coding errors to protect against false claims liability.
- Identify undercoding and missed opportunities for revenue sources.
- Identify specific areas for post-audit education and training of providers to improve accuracy and adherence to evolving guidelines and regulations.
You Have Financial Goals.
We Help You Achieve Them.
Talk to us about meeting your practice’s financial goals with end-to-end RCM solutions.
Don't just take our word for it.
"We have been with Practicefirst for complete Revenue Cycle Services since our Hospitalist group was formed in January 2014 and have experienced excellent support and service while allowing us to grow and achieve our patient focused mission."
John Patti, M.D.
Infinity Medical of WNY, PC
"Practicefirst has been handling our Medical Billing and A/R follow up since January 2011. They have provided above average financial results with excellent customer service affording us the opportunity to focus on our most important goal, patient health!"
Debbie Chapman, Practice Manager
Pediatric Cardiology of WNY, PC
"I’ve used Practicefirst ‘s full-service Practice Management solution since 2005, including medical billing, coding, and documentation training. Monthly documentation and financial reports have been invaluable to our practices."
Greg DiFrancesco, M.D.
University Emergency Medical Services, Inc.
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