Billing & Coding Analysis
Our Experience
- Developed audit templates based on coding and billing requirements and standards of care for executed clinical trials as part as a government investigation at an academic medical center.
- Developed policies and procedures to reorganize billing office to address backlog of rejected claims, train billing staff and institute performance monitoring tools.
- Analyzed methodology in assembling billing errors as part of purchase/acquisition.
- Assessed exposure related to Clinical Trials for large academic medical center.
- Analyzed SNF services to determine if the minutes of therapy documented were consistent with those reported on the MDS.
- Assisted new hospital with formulating Charge Master, Billing and Reimbursement.
- Conducted compliance billing review for seven hospitals on short stay, observation versus inpatient admission versus outpatient visits (APC) only.
