 Compliance with regulatory billing requirements is a must today. Many medical practices, hospitals and other health care organizations are proactively reviewing these areas in the risk assessment portion of their internal compliance plans.
HORNE Health Care Services has the experience to provide coding and reimbursement solutions for health care providers. We are client-centered in our focus and our clients indicate a very high level of satisfaction with our instructional and professional style. HORNE Health Care Services supports your staff long after the reviews are complete through newsletters and telephone access, making additional education and services available at your request.
Our Consultants are credentialed by the American Health Information Association as Certified Coding Specialists and Certified Procedural Coders. Our coding audits and medical chart reviews offer:
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Expert clinical and technical knowledge to assist physicians in responding to Post-Payment Audits from Part B carriers
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Review of health record entries for completeness by applying documentation principles that are currently enforced by HCFA
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Evaluation of compliance with Medicare and Medicaid regulations
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Identification of opportunities to improve physician documentation regarding levels of care specific to Evaluation and Management coding
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Assessment of the accuracy of the codes and modifiers, identification of duplicate codes, identification of variable codes for each code and corrections to verbiage when necessary
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Comparison of frequently performed procedures with the CPT codes and modifiers assigned to these procedures in the CPT manual
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Verification of completeness and timeliness of billing for physician services to Medicare, Medicaid and commercial payers.
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Our HORNE Health Care Services coding professionals combine their extensive health care compliance and clinical knowledge with over 15 years of combined clinical experience to deliver solutions to your coding questions. We collectively take a comprehensive approach to the review process, reviewing the entire continuum of care (inpatient, outpatient and physician office). These services can be customized to fit your organizational needs. Whether it's an internal inspection and training or support on a third party review, our coding professionals can provide the assistance you need to meet the regulatory challenges.
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