Physician Coding Audits

Documentation requirements. Coding accuracy. Missed revenue opportunities. With all that physicians and their staff have to focus on each day, these three key considerations may suffer. Panacea conducts physician coding audits to uncover opportunities, risks and areas of improvement. To perform a provider coding audit (Physicians, PAs, NPs, etc.), Panacea typically analyzes a sample of encounters (office, outpatient and / or inpatient) to review for complete documentation, appropriate ICD-9 diagnosis assignment, appropriate E/M (Evaluation and Management) code assignment (95 & 97 guidelines), HCPCS / CPT procedure codes and modifiers. We can also review transfer of codes to the 1500 claim form, site and place of service codes on the 1500 claim form, and payment received on the remittance advice.

To make sure providers and their staff understand the necessary requirements to support proper documentation and coding and billing accuracy, we conduct in-person physician and staff training. With our support, you can be sure that any inaccuracies are immediately addressed and corrected, and that the practice gains the knowledge needed to sustain compliance over the long term to minimize risk exposure.

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