- A cardiologist can quickly forfeit $100,000 per year with conservative coding
- Documenting way more than is required degrades the quality of the medical record
- If inappropriate billing is taking place, it is best if we find it
In the OIG's Compliance Program for Individual and Small Group Physician Practices, the OIG states that, "a general recommendation is that periodic audits be conducted at least once each year..." and, "education is an important part of any compliance program."
The best approach for most organizations:
- A representative sample of visits and procedures will be selected for each provider
- Jim Collins will review the assigned codes and supporting documentation to identify what would be found in a regulatory audit
- Written reports will present findings, recommendations, and education in an impactful, concise fashion
- Case-studies from the audit will be used to develop customized, effective provider education
Providers will gain a solid understanding of the applicable rules, they will learn which of their existing practices should be perpetuated, and they will be presented with best-practice solutions for any identified concerns.
From an organizational perspective, annual audits distinguish your compliance initiative as robust and dynamic. This can substantially reduce or eliminate penalties in the event of a false claim lawsuit. Because we are outside consultants, we can facilitate auditing and training efficiently and in an unbiased manner.
Call Jim Collins at 518.320.4376 to discuss your needs and receive a proposal.