Reimbursement Audits

Do you wonder if you’re billing and coding optimally? Maybe you have been doing things the same way for years, and your reimbursement doesn’t seem to be keeping up. Is there some special tip or trick that you’re missing? ...Some code or modifier that would bring in more money for the services you provide? Has one or more insurers stopped covering some key procedure that you do? How can you make sure you’re not leaving money on the table? THG Consulting deals with these questions frequently. We work with various medical specialties. Because we are certified coding experts, we proactively maintain our knowledge of the latest regulatory and payer changes. We can help you take your coding to the next level, so you can maximize your reimbursement.

• Payment Accuracy Reviews. Did you know that on average, insurers pay 7.1 percent of claims incorrectly? Historically, insurers’ error rate has been as high as 20 percent, according to AMA studies. We make sure you’re getting paid appropriately, based on your insurance contracts.

• New Revenue Opportunities. If you’re still coding the same way you did years ago, you could be missing out on revenue. Major changes to payment rules have resulted in new opportunities. Make sure your aren’t missing out.

• Maximizing Reimbursement. Bundling and unbundling... E/M Code changes... How do you know whether you’re capturing all the reimbursement that you could be? Our experts can help you code to the fullest potential, while ensuring that you remain in compliance.

We also provide annual coding check ups and coding education for providers, to help your practice maximize revenue.

Our FREE Opportunity Assessment can help you decide if a reimbursement audit is right for you.