Contact & SupportComplimentary Billing Review Thank You (2)Complimentary Billing Review Thank You Submit your Complimentary Mini Assessment Data BelowInformation Requirements: Please accumulate the following information to be audited during the review. We realize that it may take a little time to assemble the information, however the value that we bring to your organization through this process is directly related to the accuarcy and quality of the information we are able to analyze. All data provided should be over the same fixed period (most recent 12 months.) Please note that all fields are required. If your center is currently utilizing an outside billing agency, you may choose to opt out of select questions in section 3 by entering "N/A". If you need help, please contact us. Chart AuditingSince 1998 PMG has completed tens of thousands of chart audits and medical record reviews for CHC clients, with a focus on evaluation and management (E&M) and ICD documentation. E&M Chart AuditingWith intensified Medicare and Medicaid scrutiny — as well as recovery audit contractor (RAC) work expansion — CHCs will continue to be evaluated to see if their documentation supports the level, scope and breadth of billed services. Evaluating individual dates of service, PMG's certified coders score the SOAP documentation and other potentially billable services to determine whether a provider's documentation is too high, too low, a match or even "uncodable" based on federal E&M documentation guidelines. Note: E&M chart auditing is an included service for our CHC billing clients and available for independent purchase by our consulting clients. ICD-10 Chart AuditingIn preparation for the transition to ICD-10, PMG provides ICD-10 chart auditing services for CHCs. Many experts call this transition one of the most significant changes in health care in over 30 years. The implementation of ICD-10 will have a far-reaching impact on areas including front desk, billing software, provider training and reporting. Although October 2013 might seem far away, ICD-10 preparation can't wait. While awaiting publication of final ICD-10 rules, PMG will be readying our certified coding staff in optimization of ICD-10 for our billing/revenue cycle management and consulting clients. ICD-10 preparation requires training providers on correct and optimal ICD-10 coding. However, being certain the codes selected are accurate is another compliance initiative and revenue enhancement opportunity on its own. PMG's certified coders can review records and assess accuracy to make sure revenue is optimized in addition to mitigating negative outcomes resulting from RAC or other payer audits. While avoiding fines and penalties is secondary to assuring coding is optimal and accurate, minimizing or eliminating payment recovery of any kind will be critical as Medicaid RACs begin their work in January 2012. Note: ICD-10 chart auditing is an included service for our CHC billing clients and available for independent purchase by our consulting clients. Operational AssessmentsConducting an operational assessment of your revenue cycle process allows PMG to identify areas of strength, weakness, opportunity and threat for your CHC. We can also determine whether your CHC-centric key performance indicators (e.g. days of AR, FTE encounters, billing expense as percentage of payment, cost per claim) are within range. Together, our SWOT approach and KPI analysis provide a basis from which improvement may begin and a prioritized list of items with which to start. The following are some key factors our experts examine in evaluating your billing department:
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