Coding & Billing
Many physicians and other practitioners provide outstanding patient care, but their financial survival is threatened by incorrect medical coding, and inadequate, inefficient, and incorrect billing practices. Not only can these issues affect the practice’s revenue, but in today’s heightened regulatory environment, they can jeopardize its very survival.
Coding compliance should be a chief element of every provider’s Compliance Program, and this responsibility is not affected by who does the billing, whether in-house or outsourced. This, of course, is easier said than done. Codes and guidelines undergo frequent changes, and the added challenges to a provider whose first goal is patient care can be huge: thorough visit documentation, multiple EMR clicks, selecting ICD-10 codes to the highest specificity, sequencing them correctly, selecting the correct procedure code(s), adding HEDIS and other quality measures… the list can be endless!
Fortunately, at Coleman Consulting Group, we employ certified coders, who can review the practitioner’s documentation and ensure the proper coding for procedures and diagnoses. This may involve education of specific coding guidelines and conventions to the provider and/or billing staff to assure compliance with ethical standards and Conditions of Participation.
Let CCG help you code confidently by reviewing your practice’s medical coding whether you continue to process your billing in-house, or outsource it completely. CCG is your partner for accurate coding and billing practices that can stand the scrutiny of today’s compliance environment.