Medical Coding and Physician Reimbursement Services
CPR Analysts creates value through a broad range of medical coding and physician reimbursement services.
Internal analysis
- Review of charting and documentation processes
- Review of encounter forms for appropriate, optimal code selection
- Development of customized encounter forms and examination templates
- Operative note coding
- Fee schedule analysis
- Review of explanation of benefits/remittance advice
- Review of coverage policies by payer
- Code-specific profitability analysis customized by payer
Support
- Preparation of appeals and response to denials
- External audits, physician advocacy and support
- Response to coding and reimbursement questions
- Email alerts
Education
- Education and training seminars (on-site and distance learning)
- Publications and monographs
Custom work
- Customized project work and research
Logistics
- Telephone consultation, online support and report preparation are available
- Fees vary by the nature of the work
Expert witnessing
Medicare; Medicaid; private insurance; CPT coding; ICD-9 and ICD-10 coding; fraud and abuse; audits; False Claims Act; Personal Injury Protection (PIP); DRGs; fair and reasonable value; usual; customary; and reasonable (UCR) value