Our professional coder will review documentation of up to ten encounters and related coding/billing. Want to send documents from more than one provider? No problem. You can divide up the ten charts however you prefer.

Our professional coder will do a thorough evaluation of aspects of your documentation, including E/M level of service and type of service justification, medical record compliance with the current documentation guidelines, CPT and ICD-10-CM coding compatibility, appropriate use of coding modifiers, full charge capture or improperly billed services, appropriate billing under the “incident-to” and shared visit provisions, and compliance with Teaching Physician guidelines.

Our professional coder will present your results in a written report that highlights the major findings and recommendations. The report will include E/M utilization reports and each encounter reviewed will have a completed audit sheet, a text summary of each encounter and a summary of the provider’s unique documentation and coding issues necessary for enhanced compliance.

Once your review is complete, our professional coder will join you in a 60-minute Zoom call to review your results.