Medical billing and coding can be considered the major part of a compliance program for any healthcare organization. The Office of Inspector General has identified common practices that trigger investigations and audits, such as billing for items and services not rendered or not provided or failing to properly use a coding modifier. An effective compliance program will help identify or even prevent mistakes related to medical billing and coding. At ProMed Services, we have certified coders and auditors who can train your staff to identify billing issues, use appropriate codes and modifiers that seem unclear, and address all of the necessary details prior to claim submission.
We provide training to staff and clinicians on coverage rules for appropriate codes applicable to their practices to prevent denials for the services not meeting reasonable and necessary standards. In addition, documentation improvement for the patient's diagnosis and treatment is a main goal of a compliance program aiming to provide high-quality care.
Do you feel like you are working hard, but the office is not generating enough revenue? Consider a ProMed Services consultant: an expert in revenue cycle management processes, including medical billing and coding in New Jersey. We can help you address problems in training, communication, and workflow. Call ProMed Services today at (856) 840-5570 or contact us online.
ProMed Services provides training on clinical documentation, medical billing and coding rules, and the importance of diagnosis, as well as ICD-10 coding to clinicians, residents, fellows, nurse practitioners, physician assistants, and medical students. We offer on-site or off-site review.
A thriving healthcare organization must successfully navigate the complexities of modern business and healthcare compliance requirements. Professional Medical Management Services specializes in consulting with practices to provide help with the physical office and staff, coding and billing training, software selection and setup, policy and procedure implementation, HIPAA and ICD-10 training, and more.