Coding Compliance & Billing Performance Review
If your practice were subject to an audit today, would your Coding and Billing be compliant? Are your Coding and Billing optimized for maximum return? PSA's comprehensive review can answer these questions and help improve your practice in the process.
PSA's Coding Compliance and Billing Performance Review can assist your practice in objectively evaluating:
Accountability of Accessions
Are you confident that every case you sign out is being billed? Do you realize that a 1% error rate may cost you hundreds of thousands of dollars per year?
Accuracy of CPT Coding
Are you overcoding? Undercoding? Are you charging for each unit of service?
Adherence of Payors to Contracted Terms - Are contracted payors paying according to terms of your contract? Are they paying on time? If claims are being denied, why?
Adequacy of Management Information Reports
Does your monthly billing and collections report give you adequate information to manage your practice? Do you know charges, payments, adjustments and receivables by financial class, payor, CPT, type of patient, location, and referring physician?
Appropriateness of Collection Policies
At what point do you write off bad debts? How many times do you file insurance? How many statements does a patient receive? Do you use a collection agency other than your billing service?
Effectiveness and Performance of Your Current Billing Service Provider
Where does your practice rank against pathology benchmarks in Net Collections, Bad Debt, and Days in Patient Receivables?