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Changing federal regulations. Complex third-party payer rules. Bundling and unbundling procedure changes. The complexities of ED coding can leave your practice vulnerable to lost revenue, inappropriate reimbursement, and worse, charges of fraud and abuse. In fact, the Office of the Inspector General (OIG) cites coding and billing as a major risk area for physician practices today.
Keeping You One Step Ahead of Compliance Issues
In an age of declining healthcare dollars and rising government scrutiny, an audit by MMR can help ensure the long-term viability of your emergency medicine practice. Having been retained by some of the largest physician groups and hospitals in the nation to provide coding and compliance audits, MMR has set a standard of excellence for this service.
MMR’s own outstanding compliance program, perfected over two decades, sets the stage for our auditing services. During a baseline audit, our auditors work with you to isolate key problems in your coding, documentation or billing practices and develop a plan of action for resolving them. Identifying and correcting problems is the foundation of compliance-and we’re experts!
A compliance audit by MMR provides answers to the following questions:
- Is our coding consistent with best practices?
- Are we correctly billing for professional and technical services?
- Is our CPT coding accurate?
- Are modifiers appropriately applied?
- Is our physician and nursing documentation adequate for coding and does it allow coders to assign E/M levels that accurately reflect the ED services provided?
- Is my ED’s facility assessment criteria appropriately developed and utilized?
Utilizing our proprietary software, we present you with a clear picture of what your practice stands to lose as a result of flawed coding and billing procedures-and what can be gained by improving them. Routine compliance audits by MMR are an effective tool for reducing your liability, protecting your assets and enhancing your revenue potential. Our process is always confidential and protected to assure your security.
MMR provides optimal risk management in today’s fast-changing health care environment. To learn more about our Coding Audit Services, contact MMR today at 1-800-226-4889 or by using our secure online form.
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9485 Regency Blvd. Suite 200
Jacksonville, Florida 32225
T. 800.226.4889
F. 904.725.9757
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WHY WE’RE DIFFERENT
