Inpatient Coding & Billing Compliance/UB 92 Review
Perform a prospective or retrospective review of complete length of stay UB-92's for a sample patient population to evaluate compliant codes & billing, complete charge capture and documentary support for services claimed. The review can be Departmental, service or Provider specific or can be a general review of institutional wide services. As these reviews are very complex, the scope of the review determines the cost of the engagement.
Additional reviews are available as add-on services and include:
While a review of accurate and complete Diagnosis Coding is standard to all reviews, a focused review on diagnosis coding is available as an add-on or stand alone engagement.
Coding: per diem and "backlog" coding services available by AAPC certified coders
Our Coding Helpline to answer coding/billing questions is available with a 24 hour response time in most cases. ...
A "Shadow Review" service for Third Party Payer "Medical Claim Reviews" is available as an add-on or stand alone engagement.
Documentation & Charge Capture Templates
Claim Denial, Suspend and Reduction
reviews are available to identify problem areas and solutions as well as
preparation of Re-submissions &
Payer Appeals
Litigation Support in Medicare fraud/abuse actions
Seminars in compliance, coding and documentation in all of the above areas are available for clinical and non-clinical staff.
Billing seminars for inpatient services in all of the above areas are available
"Update Seminars" are available; focusing on regulatory change
All seminars are available on videotape
Additional services available