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Compliance Support & Chart Auditing CardiologyCoder.com offers compliance support services to members. Now, you can achieve the benefits offered by an experienced cardiology compliance officer without the expense associated with attracting and retaining a qualified employee. Cardiology is as unique from a compliance perspective as it is from a clinical perspective. Your needs for training, chart auditing, and practice optimization can most effectively be met when facilitated by someone who specializes in cardiology reimbursement. Jim Collins is the right person for the job and he will personally fulfill your compliance needs in the fashion you deserve. Cardiology Procedure Audits for each of the sub-specialty areas of cardiology are available: Coronary artery assessment/interventions, peripheral vascular services, nuclear imaging, electrophysiology, echocardiography, cardiac rhythm management devices, and more. Coding and documentation guidelines for these services are complex and often-overlooked by physicians and billing staff. Many compliance programs focus exclusively on evaluation and management service coding and documentation. This limited scope perpetuates inappropriate procedural billing practices that could be exposing your practice to hefty penalties or causing you to forfeit hard-earned reimbursement. Since the majority of your revenue comes from diagnostic testing and procedural services it is critical that you include these services in your auditing and training initiatives. CardiologyCoder.com is uniquely equipped to review your current procedural documentation and to make highly effective and appropriate recommendations for improvement. Evaluation and Management Audits will continue to be an important element of effective compliance initiatives because the government has consistently dedicated a considerable amount of resources to auditing these services. By voluntarily and periodically submitting your documentation for review you can identify inappropriate billing or documentation practices and potentially secure the opportunity to make corrections before it is too late. CardiologyCoder.com is specially suited to review cardiology specific evaluation and management service notes. We understand the intricacies of cardiology visits, applicable regulations, and can recommend “best practice” advice specific to cardiology service documentation. This will, frequently, allow you to streamline documentation while increasing reimbursement. Responding to Payer Audits is more complex than many cardiology groups realize. Practices are subject to reviews of many different types; pre-payment reviews, CERT reviews and fraud/abuse investigations. Each of these reviews has the potential of triggering more in-depth investigations and generating penalties that include sanction from participating in any federally funded program, penalties in excess of $10,000 per claim, and imprisonment of managerial staff and physicians. When audit notices are received from the IRS physicians typically seek the council of an accountant or tax attorney. However, many groups are content having administrative personnel (who may not fully understand applicable coding and documentation regulations) responding to payer requests for supporting documentation. In most cases, however, the stakes are higher with a Medicare audit than with an IRS audit. The best course of action is to coordinate your responses to these audits with the help of an experienced advocate. CardiologyCoder.com has extensive experience assisting physicians with the various types of Medicare audits and has a proven track-record successfully appealing negative audit findings. We can work one-on-one with your practice or through the attorney client privilege. |
If you would like to contact us directly or ask us any questions about our services and availability, please use this contact form.
cardiology coding, cardiology consultant, cardiology compliance training, cardiology compliance consulting, chart auditing, coding reimbursement, proficiency newsletters, proficiency testing, CEU testing, Continuing Education Units, cardiology practice reimbursement, billing and coding reimbursement, enhance practice billing efficiency, evaluation and management consulting |
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