Know and follow the rules.
We take compliance very seriously and can provide dedicated resources to ensure that your practice remains compliant not only today but also moving forward as future changes occur within the industry.
Protect Your Practice
Healthcare is a complex, highly regulated industry that is governed by a variety of federal and state agencies - the Drug Enforcement Administration (DEA), Food and Drug Administration (FDA), U. S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), and Office of Inspector General (OIG). These regulations are complicated and affect all aspects of practice operations - billing, coding, licensing, contracting, and so much more.
These regulations are complicated and run the gamut of your daily operations, including billing, licensing, contracting, coding, and so much more.
Experienced & Knowledgeable
Fraud, waste, and abuse cases within the industry are increasing in frequency and has resulted in growing scrutiny from government regulators. Steep penalties for practices that violate compliance regulations may result in higher financial costs for your practice or organization. As a healthcare provider, it's important to remember that healthcare compliance regulations pertain to all organizations, regardless of size.
With over 60 years of industry experience, Practicefirst brings a wealth of experience and knowledge to our business partners. We take compliance very seriously and provide dedicated resources to ensure that your practice remains compliant today and moving forward, as changes occur within the industry.
Practicefirst can help create a culture of compliance within your organization by providing the following:
Coding and Billing Audits
These audits help ensure that your billing codes accurately reflect the services provided, and help safeguard against repeated documentation and coding errors.
Payer Contract Analysis
We review the terms of your participating agreements with insurance carriers and make suggestions for contract renewal. In addition, we evaluate agreed upon rates and compare them with reimbursements currently offered in your specialty and region.
Education and Training
Our training programs may be customized to the needs of your practice and cover a broad spectrum of topics including Clinical Documentation Improvement, Fraud, Waste and Abuse, and HIPAA Privacy & Security.
Compliance Program Effectiveness Evaluation
In depth analysis of current/existing program policies and procedures.
Improved Risk Management
Reducing your risk of potential civil or legal penalties is one of the critical goals of our compliance services.
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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