Adhering to effective and efficient billing processes and accurate medical coding and aligning to relevant compliances is crucial to optimize reimbursement and/or revenue.

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Right Revenue’sMedical Billing and Coding Audit, Monitoring and Consulting Services offers our value-added consulting services to our clients – medical practices, surgeons, physicians, hospitals, medical laboratories, and ambulatory surgical centers (ASC).

1. Dedicated billing process reviews.

2. Clinical coding reviews.

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Our experienced and skilled certified coders review the patient billing and clinical documentation to verifythe CPT, ICD and HCPCS codes’ accuracy as well as process compliance.  This will help our clients optimize their process (and their revenue) while your coders gain proficiency.

Our services also offer assistance in implementing auditor’s recommendations with suggestions for efficient billing process, accurate clinical documentation and refined quality control.

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Our complete 4-step audit involves:

1. Identifying and observing our clients’ pre-determined and agreed-upon audit parameters and deliverables.

2. Complete extensive review of our clients’ billing and/or coding processes, patient clinical information and coding data.  The review will also include a report identifying all coding, documentation, reimbursement, and compliance issues.

3. Share complete comprehensive audit report(as aforementioned), including customized solutions with the team/management.

4. Engage with our clients to implement agreed-upon recommendations/solutions, helping them align to timelines for the defined outcomes of any and all corrective actions.