Coding and Documentation Services
Without proper coding, claims can be denied or retroactively audited and reimbursement recouped, which has a significant impact on revenue. EisnerAmper helps single- and multi-specialty physician groups and hospitals achieve revenue enhancement through an increased knowledge of coding and the ability to identify all services provided and billable for every encounter. Our coding assessments typically uncover missed revenue opportunities and provide risk mitigation for carrier audits that exceed our professional fees.
Coding and Documentation Review
We will perform a comprehensive review of your documentation to:
- Achieve coding accuracy & obtain proper reimbursement
- Maintain regulatory compliance
- Identify under- or over-billing
- Optimize billing processes
- Identify clinical documentation improvement opportunities
- Discover problematic trends
Our review includes evaluating your current coding practices to help you establish priorities for documentation improvement, education and training, as well as identifying and mitigating reimbursement risks. Our goal is to help you improve accuracy and protect earned revenue.
Provider and Staff Coding Education
EisnerAmper’s certified professional coding instructor(s) will customize training for staff. Education focuses on concepts relevant to these team members. Educating staff on best practices is essential to improving processes.
The 2021 Evaluation and Management guideline and code changes are the first major shake-up to coding in many years. Our introductory E/M Assess service offers a high-level overview of your practice’s E/M coding to identify if documentation supports these new guidelines and areas for improvement. See more detail here.
Insurance Carrier Audit Assistance
With the recent increase in carrier audits, providers are under greater scrutiny than ever before from private and government payors who use audits to identify alleged overpayments and demand that physicians repay these amounts. According to the Office of Inspector General Review, 55% of claims for E/M services* were either incorrectly coded and/or lacking documentation, resulting in $6.7 billion in inappropriate payments.
Our expert team can help providers proactively prepare for carrier audits with a documentation review to help increase compliance and reduce risk of revenue loss due to incorrect coding. In addition, we offer post-audit support to handle appeals, refute carrier assessments and help minimize repayments. Should a case end up in court, we also offer expert litigation support.