Charge
Ticket/Superbill/Encounter Form Evaluation A review of
the current charge tickets/superbills/encounter forms used
by your group will be conducted. Recommendations will focus
on current formatting, accuracy of codes and/or descriptions
assigned. Additional codes and modifiers which should be reflected
on your document will be recommended. This project will include
interviews with the encounter form users to receive input
of perceived strengths and weaknesses. A report detailing
findings and recommendation will follow.
Billing
System Dictionary Review Similar to a review
of your charge ticket this service will review the formatting,
and accuracy of codes and/or descriptions identified in your
billing system dictionaries. Additions, deletions and revisions
will be forwarded to your organization in the format of your
choice. Iatro consultants have extensive experience working
with a variety of billing systems including the IDX and SMS
billing systems.
Pricing
Strategies A review of
your current fee structure and allowed reimbursement levels
reflected in explanation of benefits is performed. By utilizing
specialty specific charging information specific to your geographic
area and relative value scales, a pricing strategy is developed.
This strategy incorporates market sensitivity and relativity
of fees among similar services. A customized spreadsheet reflecting
all services typically performed by your specialtie(s) will
be developed. An associated analysis will be performed comparing
fees and measuring the impact of implementation on your practice.
Comparative
Utilization Reports This analysis
compares your practice's current utilization patterns to national
productivity data, helping to identify possible areas of overcoded,
undercoded or incorrectly coded services. Additionally, areas
of noncompliance which may expose a client to risk of potential
audit may also be revealed.