The DOJ and OIG state that healthcare organizations must establish adequate internal procedures to ensure the accuracy of claim submissions to third party payers. Nationwide, facilities’ noncompliance with payers’ billing requirements results in millions of dollars in overpayment needing to be repaid each year. A healthcare organization’s failure to establish compliance procedures can easily turn an honest billing mistake into a false claim that is subject to penalties.
At Lighthouse Healthcare Advisors, we aim to help healthcare organizations establish procedures for medical coding that significantly reduces the number of overpayments or other payment errors. Our coding, compliance, and education services can help your organization solve problems before they start.
Learn more and schedule a consultation by reaching out to Lighthouse Healthcare Advisors at 410.252.0804 today.
Coding Services and Support
LHA can assist your organization with all of its Part B coding needs. Whether your team is overwhelmed by volume and needs a helping hand or you want to totally send the stress of accurate, optimal, and compliant coding outside your organization, Lighthouse Healthcare Advisor’s team of AAPC credentialed coders is here to help. By offering our clients options for a domestic, global, or hybrid workforce, we are able to help organizations of any size and budget. Your charts will undergo a thorough quality review program and you will have the option to receive monthly data outlining volume, productivity, and quality metrics. Call us or fill out our contact us form to get in touch today.
Medical Coding and Compliance Audits
With Lighthouse Healthcare Advisors, you get a personal approach to external audits/documentation review. After analyzing your areas of specialty, we select records for review based on your common coding practices. Focusing on CPT and ICD-10 guidelines and usage, we provide professional feedback with formal findings presented by our coding education specialist. Our advisor spends time one-on-one with providers and their teams to ensure proper documentation, coding, and compliance best practices to improve claim denial rates and reimbursements.
LHA’s coding and compliance audit services include:
- External audit and record review
- Pre-payment or post-payment auditing
- Utilization analysis with comparison to local and national peers
- Focused audit selection
- Medical record documentation review
- Annual assistance – On-demand research for all of your coding and compliance inquiries with written reports
- In-person audit review and education with physicians and staff
We’ll find opportunities for improvement and support you in continuing your correct coding initiatives.
On-Site Coding Education
Medical coding is complex and updates occur regularly. LHA’s coding education specialists are AAPC certified with vast experience in coding, auditing, and compliance training.
LHA will keep you and your team up to date with industry changes with these on-site education services:
- New provider, coder and/or biller documentation and coding education
- Annual CPT and ICD-10 CM update review sessions
- HIPAA training
- ICD-10 CM, CPT, and HCPCS training
- Compliance seminars
Specialties Lighthouse Healthcare Advisors Serve
At Lighthouse Healthcare Advisors, we help with coding services and support as well as compliance audits for all of the following specialties:
- Psychiatry and psychology
- Pain management
- Physician practices
- Primary care
- General surgery
- Breast surgery
- CHF clinics
- Wound care clinics
- Infectious disease
- Home health
- Urgent care