Understanding Healthcare Billing and Coding Compliance | ProvidentEdge.com

Provident Consulting
30600 Northwestern Highway, Suite 305
Farmington Hills, MI 48334-3172
[phone]
www.providented...
[e-mail]
OVERVIEW
Billing and Coding Compliance
• Seasoned professionals able to interpret various principles, processes and obstacles that govern compliant billing and coding
• Minimize compliance risk by assessing organizational threats and opportunities, revising policies and procedures, providing appropriate solutions for responsive action, and managing the impact that industry changes may have on an institution
Further complicating matters, managed care and regulated health insurance companies are becoming increasingly savvy with cutting costs and refusing payment for services. Governmental payors have put reimbursement recovery measures into place with the Recovery Audit Contractor (RAC) Audits which are causing a significant work effort to manage the audit process. Medicare Severity-Diagnosis Related Groups (MS-DRGs) has posed another obstacle for providers, many of whom are facing the possibility of declining Medicare reimbursement. Access to appropriate resources and technical expertise as well as the efficient management of organizational risks are essential in generating the increased revenue necessary for a healthcare institution’s survival.
About Provident Consulting
Provident Consulting is a leader in Healthcare Management and Compliance Solutions. We understand the diverse risks our healthcare clients face. Our proven solutions, expertise and specialized tools transcend traditional strategies and assumptions and focus on regulatory, operational and financial optimization to help clients thrive in the future of healthcare.
Provident’s solutions are focused on the integrity of the clinical record to support quality patient care, manage compliance with law and regulation, secure appropriate reimbursement, and give healthcare leaders actionable clinical data to drive success.
Provident Consulting
30600 Northwestern Highway, Suite 305
Farmington Hills, MI 48334-3172
[phone]
www.providented...
[e-mail]