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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:

  • Bill and be reimbursed for services
  • Monitor clinical and business patterns
  • Negotiate third-party payer contracts   
  • Even, calculate physicians' W-2 compensation.

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

n  Charge master

n  Managed care contract evaluation  

n Medical record documentation   

   and ICD/CPT coding

n Health information management

   and utilization management

 

Contact Our Consultants For More Information:

Jeanne Chapdelaine     952-548-3374  jchapdelaine@wipfli.com

Nancy Jacobson,

CPC, CCS-P

    952-548-3376  njacobson@wipfli.com
 
 
7601 France Avenue South, Suite 400 · Edina, MN 55435
Ph. 952-548-3375   Fax 952-548-3475