SERVICES
With over 30 years of expert healthcare industry knowledge, we provide real-world solutions for every size practice, training your team in maximizing reimbursement and reducing your risk.
Revenue Cycle Management
We provide a strategic assessment focusing strictly on the people, process, and payment systems that surround the accounts receivable and reimbursement process. The goal is to ensure your practice has the right team, the right systems, and the right accountability standards to:
Achieve Successful Reimbursement
Maximizing Correct Coding Opportunities
Reduce Lost Revenue
Educate and Train Staff
Streamline Authorizations and Referrals
Strengthen Denial Management and Appeals
Submit Claims Efficiently
The Medical Group Management Association (MGMA) reported in 2014 that, 50% to 65% of denials are never worked, according to industry sources, who attribute that to lack of time or knowledge.
The success of your practice rests largely upon effective management of your revenue cycle. A comprehensive review of your current billing processes, policies, and procedures can help you discover where your practice is missing revenue opportunities and mitigate future lost revenue.
Training & Education
Training and Education are the foundation of our company. We offer live, in-person training on-site, we also have a proprietary web-based platform for continuing education courses. We have topics on a variety of subjects and customize in-services and training for your organization. AAPC continuing education units (CEUs) are available with prior requests for clients who staff those who are already certified coders.
Popular Education Topics:
2024 CPT® Coding Updates
2024 ICD-10-CM Coding Updates
Achieving ICD-10-CM Specificity
AMA/ CMS CPT® Evaluation and Management (E/M) Code and Guideline Changes
Annual Medicare Physician Fee Schedule Proposed/ Final Rule Updates
Annual Wellness Visits and Preventive Services
Certified Coder Bootcamp
Chronic Care Management (Transitional Care and Principal Care Management)
COVID Updates for Billing and Coding
Healthcare Compliance (Antikickback, False Claims and Stark)
How to Conduct an Internal Audit.
Implementing a Strong Revenue Cycle Management (RCM) Program
“Incident-to” Billing Guidelines
Maximizing Portable Diagnostic Services
Optimizing Risk Adjustment (HCC) Coding and Compliance
Specialty Coding
Target, Probe & Educate (TPE) Avoiding Round Two
Telehealth (and telehealth during the Public Health Emergency (PHE))
Understanding CPT® Evaluation and Management Coding
Subject Matter Expert
Expert assistance in these healthcare issues and more:
Compliance Planning
Due Diligence Audits for Mergers and Acquisitions
Fraud and Abuse Claims Assistance
Independent Review Org for Corporate Integrity Agreements
Legal Expert Witness
Overpayment Request Assistance & Payor Audit Assistance
Pharmacy Reviews
Program Integrity Audit Assistance
Target, Probe, and Educate (Medicare Program Integrity Review) Assistance