Coding and Compliance
The MED3OOO Coding and Compliance team provides physician practices and hospitals with the information required to maximize the accuracy and efficiency of coding, compliance, and billing, ensure conformity with applicable OIG requirements, and address the regulations of government agencies. Our thorough chart evaluation assesses the accuracy of billing and diagnosis coding, the application of modifiers, and the performance of complex and problem-prone “incident to” billing. “Incident to” billing has been identified in the current OIG Work Plan as a focus for OIG compliance enforcement efforts.
Our Coding and Compliance Services include:
1. Medical Record review/audits – detailed individual physician reports with applicable educational tools
2. Coding Analysis – national and peer comparison based on specialty, lost revenue, and risk issues where applicable
3. Documentation Training – individual or group training for physicians, coders, and billing staff, including physician shadowing
4. Seminars – coding, compliance, and billing seminars
5. Physician Resident Training
6. Compliance Plans – review and development of compliance plans
7. Internal Review Organization – approved IRO to assist in OIG investigations and audits
8. New Physician Orientation – review of government regulatory guidelines related to coding and compliance
9. HCC Coding Assessments and Education
10. PQRI Training
11. RAC audit reviews
12. Practice Assessments
13. EMR Template Assessment
14. ICD-10 training & education
Specialized assessments focused on improving performance in a particular area or on a problem identified during an overall review are available. Specialized assessments may be performed for individual practitioners or a category of service, e.g., surgical billing.
Click here to view our MED3OOO Coding & Clinical Newsletters, or Click Here to sign up for our MED3OOO Coding and Compliance Newsletter written by Cindy Tipton-Cain, MED3OOO Sr. Director Physician Services, Coding and Compliance.
For more information, contact Cindy Tipton-Cain, MED3OOO Sr. Director Physician Services, Coding and Compliance, at Cindy_Cain@MED3000.com or 404-310-4835.
