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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:

• CDM review
• DRG review
• Outpatient PPS review
• Reviews of affiliated physician practices
• Reviews of "Hospitalist" programs
• Laboratory Departmental review
• Radiology Departmental review
• Pharmacy review
• Ambulatory Surgical Center review
• Dialysis services review
• Rehabilitation services review
• Advanced Practitioner review
• HIPAA review
• PATH review

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