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Coding,
Reimbursement, and Compliance Services
The impact CPT,
ICD-9, and HCPCS coding and billing has on your organization's financial
performance is tremendous. Prudent healthcare organizations use coding
information to:
If coding is not
performed correctly, data will be faulty, poor business decisions may
result, and overall revenue will not reflect services provided. Not
only does problematic coding have a revenue impact, inefficient billing
processes increase costs directly (e.g., staffing, re-submissions, high
accounts receivable) and indirectly (e.g., frustration levels and
morale).
Partners assists
healthcare organizations ensure their coding is accurate and that
revenue and compliance processes are efficient and effective. We are
expert in the following areas:
Medical Practices
(Independent or Health-system owned)
|
n
Revenue cycle enhancement |
n
Fee
schedules and RVUs |
|
n
CPT
and ICD-9 coding |
n
Third-party payer compliance |
|
n
Chart
documentation |
n
Focused physician education |
|
n
Billing and claims review (audits) |
n
Staff
training and mentoring |
Hospital/Health
Systems
|
n
Revenue cycle enhancement |
n
DRG
and APC reimbursement |
|
n
A/R
outcomes improvement |
n
Billing compliance |
|
n
Case
mix management |
n
Performance improvement
|
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n
Charge master |
n Managed care contract evaluation |
|
n
Medical record documentation
and ICD/CPT coding |
n
Health information management
and utilization management |
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