Service List

By developing an effective Compliance Program within your practice you will ensure the prevention, detection and resolution of instances of risk which do not conform with federal and state program requirements. Having such a program will articulate and demonstrate the practices commitment of assuring adequate systems are in place to facilitate ethical and legal conduct.

Conduct Quarterly/Bi-Annual/Annual Audits
Conduct Audits

Medical Records must reflect and contain all that the billing reflects; It is important that providers/clinicians capture each encounter appropriately with in each entry of the Medical Record. By conducting Compliance/Coding Audits regularly there will be less risk to the practice.

Audit outcomes will be sent via email confidentially upon completion and appear like this:

Audit SummaryDiagnoses IssuesCPT Errors

Provide Audit Outcome Coding Training & Education
Audit Outcome Coding

It is important to have training following an audit. This can be conducted individually or in a group setting. We can develop a practice-specific orientation program for new clinicians/providers as well.

With our experience we will provide on-site training customized to your needs.

Audit Outcome Coding Training & Education Sample Presentation

Education Slideshow Sample 1 Education Slideshow Sample 2 Education Slideshow Sample 3

Educational Tools
Educational Tools

Coding tools, Pamphlets, Educational Brochures; Practice specific. Easy to follow coding references. Coding Newsletters created for your practice or department for monthly or quarterly distribution.

In-Patient Hospitalist Provider Specific Leveling Handout

Handout Title Sample Handout Sample

Template Development
Template Development

To Create template tools for faster document creation that is appropriate and ensures a complete capture of a patient’s encounter.



Template Development Instructions Template Development Form 1 Template Development Form 2

Evaluation and Management Coding
Evaluation Coding

Our focus and field of expertise is with all aspects of Evaluation and Management Code assignments. Evaluation and Management CPT codes are codes used by a physician to report evaluation and management services including but not limited to patient history, a focused exam and or medical decision-making. These services may be provided in an inpatient and outpatient setting or other ambulatory facility.

Evaluation and Management Services are divided into a broad set of categories and subcategories (e.g., outpatient services, inpatient services). Medical documentation for Evaluation and Management Services must consist of the appropriate components (e.g., history, physical exam, medical decision making) as designated in the 1995 and 1997 Physician Evaluation and Management guidelines as published by the Center for Medicare and Medicaid Services and Current Procedural Terminology (CPT) manual.

ICD-9-CM and CPT coding
Health Industry Coding

We provide the full range of ICD-9-CM and CPT coding for:

  • Vacation and leave coverage
  • Observation
  • Outpatient Procedures
  • Emergency Services
  • SNF Services
  • In-Patient Hospitalist Services