services
Years in the healthcare industry is what sets us apart. Experience and study of market trends and regulations has gained us the ability to help others in the healthcare industry navigate through all the changes and focus on growing their business, staying compliant and providing excellent patient care. Our approach is simple: Ask questions, listen very carefully, and then formulate a plan of action based on needs and expectations of our clients.
You can be assured – we have a commitment to excellence when it comes to the level of Knowledge, Professionalism and Quaility of the services we provide to our clients
audit
Annual compliance audits for both professional and facility claims.
Performed by credentialed auditors.
Baseline audits for compliance plans.
Full report provided showing financial impact and educational comments.
Onsite, Mail in, FTP site, secure email medical record transmission.
revenue cycle
CDM review and audit
Payment Integrity Audits
AR assessment evaluation
Denial appeals and management
Denial trending and education
Revenue Cycle process evaluation and training
Florida FCSO and Connelly RAC audit and appeal:
Focus on Ortho, Cardiology and short stay admissions
Prospective, Retrospective and Concurrent reviews
Audit risk assessment relating to “approved” audit areas
Audit appeal management
Provider education and compliance program revision
education
Annual compliance education for all employees and providers.
Specialized education for billing and coding staff.
Specialized education for providers based on prior audit findings, OIG Work plan and RAC focus.
Webinars or onsite training available.
compliance
Compliance risk assessments.
Compliance program evaluations.
Compliance education and training.
Compliance program development.
Risk management assessments.
Risk management program development.
value. quality. expertise