1. Billing and Coding Compliance Audits:

Our expert team conducts thorough audits of your billing and coding practices to ensure compliance with industry regulations, coding guidelines, and payer requirements. We identify potential areas of risk and provide recommendations for improvement to minimize the risk of audits and penalties.

2. Documentation Accuracy Review:

Accuracy in medical documentation is crucial for proper billing and coding. We perform detailed reviews of medical records to ensure that documentation aligns with coding requirements and supports the services billed, reducing the risk of claim denials and audits.

3. Charge Capture Accuracy Assessment:

We evaluate the accuracy of charge capture processes to ensure that all billable services are appropriately recorded and submitted for reimbursement. Our assessments aim to maximize revenue by capturing all eligible charges for the services provided.

4. Coding and Billing Efficiency Analysis:

Our team analyzes the efficiency of your coding and billing processes, identifying opportunities for streamlining workflows and reducing administrative bottlenecks. This includes evaluating the use of technology and automation to enhance overall efficiency.

5. Payer Contract Compliance Audits:

We conduct audits to ensure that your wellness practice is in compliance with payer contracts. Our team reviews contract terms, reimbursement rates, and performance metrics to maximize revenue and identify any discrepancies that may impact contractual agreements.