PATH Coding
Perform a prospective or retrospective review of a sample PATH regulated claims to evaluate accuracy and completeness of the coding & billing of PATH regulated services. This includes a medical record documentation audit to evaluate support for both the service claimed and that PATH "presence" and documentation requirements were satisfied.
Evaluate "Moonlighting" Resident Program(s) to evaluate compliance with PATH regulations governing "moonlighting" services
Review to determine compliance within, and resulting revenue optimization via, the "Primary Care Exception" criteria within the PATH regulations
PATH "Shadow Audit" services
PATH documentation Templates
A "shadow" review service for Third Party Payer "Medical Claim Reviews" is available as an add-on or stand alone engagement.
PATH Claim Denial, Suspend and Reduction reviews to assess problem areas and identify solutions as well as preparation of Re-submissions & Payer Appeals
Litigation Support in Medicare fraud/abuse actions
Training for Attending, Resident & Intern physicians on PATH compliance; preparation on the New PATH Regulations is now available.
Billing seminars for PATH services
"Update Seminars" are available; focusing on regulatory change
All seminars are available on videotape
Additional services available
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