FAQs2018-03-02T20:13:33+00:00

Frequently Asked Questions

What fee arrangements are available?2016-08-08T22:43:31+00:00

Fees vary depending on the scope and depth of the project.  We are flexible and customize our billing to provide maximum value.  Common options include hourly rates, retainer rates, and project rates.

Is an on-site visit necessary?2016-08-08T22:43:05+00:00

Not necessarily.  We frequently work from documents transmitted electronically or via postal mail. However, for some projects, an on-site visit is the most effective approach.

We probably undercode sometimes and overcode sometimes. Is this common?2016-08-08T22:44:02+00:00

Coding mistakes are very common.  The incidence of miscoding approaches 50% in many estimates. Poor coding practices including undercoding may cost the average practice 10-20% of potential income. Overcoding subjects a practice to the risk of severe penalties.  The government has an active interest in pursuing wrongdoers through the Federal False Claims Act since it recovers $13 for every $1 expended for investigation.

How severe is the problem of coding and physician reimbursement?2018-03-02T20:13:34+00:00

It is incredibly severe. For example, a government study revealed an improper payment rate approaching one-sixth for evaluation and management services, resulting in improper payments of $4.5 billion. The government is substantially increasing efforts to recover payments from providers. Unfortunately, dependable help is hard to find. A Government Accountability Office study found that an astonishingly low 4% of billing questions submitted to Medicare call centers were answered correctly and completely.