Requests for record reviews and audits are on the rise and Medicare reimbursement paybacks are announced with alarming regularity.
Payors are using analytics tools to scrutinize claims data and identify potentially incorrect billing patterns, creating an increase in payor audits and reimbursement take-backs. Some practices have paid back millions.
Operative/Procedure Note Review
One of our nationally recognized coding experts reviews a select number of operative/procedure reports and the code(s)/modifier(s) billed for them. Each case is annotated with specific guidance for physicians and the practice team. You receive a written summary that includes our findings and recommendations for improvement.
Evaluation and Management (E/M) Services Review
A coding expert reviews a selected number of E/M services, the codes and modifiers billed for these services, and the associated documentation. The review may also include an analysis of your CPT frequency (usage) report using KZA’s proprietary E/M Analyzer tool. You receive a written summary that includes our findings and recommendations for improvement.
Add Our ‘Audit to Educate’ Option!
Identifying areas of possible non-compliance allows you to target educational efforts. KZA can integrate the results of the Coding and Documentation Review into a customized coding education program. The course content includes the consultant’s annotated notes and teaching points for a powerful learning experience. This program can be delivered in your office or remotely.