E/M Coding & Compliance Services
Practice Protection
Maintaining compliance with E/M coding documentation requirements is of paramount importance to today's medical practices. In an environment of strict regulations and ever-increasing government watchfulness, non-compliant practices face the threat of prosecution and risk penalties and fines that could bankrupt a practice. Exscribe is committed to helping practices minimize their risk through careful analysis, planning, and training.
Increased Revenue
Optimal E/M coding helps practices increase revenues by decreasing the number of "down coded" procedures, enabling the practice to confidently bill at higher levels while limiting medical record liability.
Risk Analysis
Assessing risk is the first step in pursuing compliance. This analysis includes an analysis of the practice workflow and review of representative charts by a practicing Orthopaedic physician certified in Healthcare Compliance. By exclusively focusing on Orthopaedics, Exscribe can identify compliance trouble spots unique to the specialty, such as durable medical equipment, referrals, and consultations.
Compliance Plan
An active, comprehensive compliance plan is essential to protecting the practice and mitigating risk. Based on the Risk Analysis, Exscribe helps the practice develop, implement, and maintain a compliance plan tailored to the needs of the practice.
Training
Practice-wide training is essential for a successful compliance effort. Training is designed to raise awareness of the importance of proper coding and the consequences of non-compliance. Led by an Orthopaedic surgeon certified in Healthcare Compliance, the sessions provide physicians with sample cases, models, and criteria that can be used to accurately determine E/M coding levels and avoid penalties. Staff training focuses on compliance procedures for claims preparation, collections, and documentation.
Chart Reviews
Exscribe conducts periodic chart reviews to assure that the physicians are continuing to code and document properly and the practice remains in compliance.