Listed below are a few of the consulting services offered by MedTrust.
Please email: email@example.com to hear more about these and other services we offer.
Office Efficiency—Assessment of office procedures, patient scheduling, office lay-out and practice flow.
Fee Schedule Review— Analysis of current fee schedule
With our vast knowledge of medical billing and coding, we can ensure that you are receiving accurate, allowable, and timely reimbursement for your services.
Our Corporate Compliance Plan allows for on-going audits and assessment of your practice billing and coding activities.
As customer service is our primary focus, we provide a "no-cause" cancellation agreement should you not be fully satisfied with our service.
Please see the "Why Outsource" document for an analysis of beneftis associated with our billing services.
EVALUATION & MANAGEMENT (E&M) AUDITS provide an assessment of the provider’s documentation and accuracy of E&M coding. The evaluation will determine over coding, under coding, insufficient documentation, incorrect category selection (new, established, consult, etc.) and an overall compliance rate.
The preferred method is to review records prior to submission to the insurance company so corrected levels/category (if applicable) can be submitted to avoid overpayments and appeals for underpayments. Contracting through an attorney is recommended to protect findings.
The records can be reviewed via EMR, faxed, mailed or onsite.
Charts should be randomly selected from a variety of payers, dates of service, types of service (new, established, consultations); post payment or pre-payment (prior to submission to insurance).
SURGICAL/PROCEDURE AUDITS-The review of procedure or surgical notes will assess accurate coding and documentation as well as the accuracy of modifiers and whether the coding included bundling errors. “Bundling” edits are used by payers to identify over-coding and submission of codes that are components or mutually exclusive and should not be submitted for the same session.
BILLING PROCESS /ACCOUNT RECIEVABLE REVIEW
This review will analyze the current financial reports and payments/denials to determine if the practice is using an accurate fee schedule, coding/billing correctly, working denials and capturing patient balances. Benchmarks’ using financial reports is the first step of the review followed by an onsite review of the payment/denials files and interviews with billing staff along with review of coding/billing policies and procedures A final report will be provided with detail of the findings, national benchmark comparisons and specific recommendations for changes that may be indicated. The review will include the following: