"Generally, preventative controls are more efficient and effective than detective controls."

The Federal Government managed care insurance companies, and contracted agencies are advancing their rights to ensure compliant reimbursement.  Medical records are continually evaluated for errors to ensure the proper adjudication and payment of health claims.  Clear Physician Services provides medical record coding and audits to assist physician offices with Recovery Audit Contractors (RAC) and Comprehensive Error Rate Testing (CERT) audits.

In addition to medical record audits, Clear Physician Services also contracts with organizations to provide coding of medical records as a component of a practice’s billing function.  Credentialed with the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA), our staff is certified to provide a level of quality and excellence that is not always an affordable option for a medical provider.

At a minimum, practices should conduct self-audits on a quarterly basis, internal audits on a bi-annual basis, and an external audit on an annual basis.  Clear Physician Services can train your staff to conduct self and internal audits.  We provide external audits for your practice on an annual basis.

For each chart audit, you will receive:

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• Determination of a provider's "individual" level of understanding on how to appropriately code and document.

• Services for optimal legitimate revenue return, per established CMS and AMA guidelines.

• Identification of any coding patterns which pose a risk to audit.

• Identification of any coding patterns or individuals which triggers claim rejections, posing a financial loss on the center.

• A formal report with individual and group graphs to support conclusions and recommendations for changes.

• Optional educational training sessions available.

Cost $25 per encounter / $120 per 5 encounters / $225 per 10 encounters / $325 per 15 encounters
 

New clients may receive a 5 chart audit at no charge to view our high quality reports for your practice.

Clear Physician Services abilities:

• Accurately adjudicate medical coding for diagnoses, procedures and services in physician-based settings.

• Proficiency across a wide range of services, which include evaluation and management, anesthesia, surgical services, radiology, pathology, and medicine.

• Handle issues such as medical necessity, claims denials, bundling issues, and charge captures.

• Knowing how to integrate medical coding and reimbursement rule changes into a practice’s reimbursement processes.

• Knowledge of anatomy, physiology and medical terminology necessary to correctly code provider diagnosis and services.

• Let our team of AAPC certified coding experts take the hassle off your hands.

• Our chart auditing service is designed to improve productivity and quality of your business as well as cash flow. The bottom line is accurate chart documentation can withstand an audit or lawsuit.​

Each provider is recommended to have a 15 chart audits performed each quarter.  Clear Physician Services is available to provide the quarterly audit service, or perform annual audits to ensure any internal auditors are efficient.  Contact our office to begin the steps to ensure maximum receivable you deserve!

For more information on our audit services, contact us or call 855.80.CLEAR (855.802.5327) and let us discuss how we may grow your practice.