Reimbursement for Services Rendered Sounds Easy, Doesn’t It?
Chart reviews are a necessity to assuring that your practice is compliant and maximizing revenue for the services rendered.
Our Certified Professional Medical Auditor (CPMA®) healthcare consulting team is extensively trained, HIPAA compliant, and committed to accuracy and excellence. Our comprehensive chart review will improve the quality of your clinical documentation in electronic medical records, which will lead to accurate claims, ensuring you receive the reimbursement you deserve. We recommend performing regular chart review to establish compliance with regulatory guidelines and ensure you are managing an efficient and clean operation.
Cloning of notes
Upcoding or downcoding
Incorrect use of modifiers
Missed revenue opportunities
Over reporting of specific E/M codes
Overdocumentation due to improper use of EMR templates
Documentation that does not support the patient’s chief complaint
Reporting of E/M codes that equal up to more time than the provider is physically in the office
($1500 per provider to cover level of effort start to finish)
Edafio Healthcare consulting team has decades of combined compliance experience in the healthcare industry. Our team has worked with numerous healthcare entities, business associates of covered entities, and other healthcare-related companies supporting their ongoing healthcare optimization needs.
There is no greater support than consultation and guidance. When you talk, we listen, then provide a tailored solution for your business needs. Our certified specialists are standing by to help.