Operational and Revenue Cycle Assessments

A facility may occasionally require assistance from professionals in the healthcare industry to review its revenue cycle and ensure specific processes are in place within the business office for optimum functionality. Coding Compliance Management, LLC will assess current business processes and business staff competencies and provide recommendations to facility management for improving efficiency and productivity. Some areas of focus include but are not limited to the following:

  • HIPAA Compliance
  • Billing/posting competencies
  • Collection productivity/Claim denials
  • Verification, authorization and precertification
  • Patient accounting systems (PAS)
  • Benchmark comparisons
  • Staffing competencies and levels
  • Insurance Contract Reviews
  • Policy & Procedure Reviews
  • Documentation competencies and physician education if/when warranted
  • Medical Records
Clinical Services Assessments
  • Accreditation, licensing and regulatory compliance
  • Clinical assessment
  • Quality and performance
  • Improvement assessment
  • Materials management assessment
  • Infection control assessments
  • Safety and risk management evaluation
  • Human resources and credentialing assessment
  • Staffing Efficiencies
  • Policy and Procedure Reviews
HIPPA Compliance Reviews and Assessments
  • HIPAA Compliance Reviews
  • Staffing Competencies as it relates to HIPAA Privacy Rules
  • ASC HIPAA Policy & Procedure Reviews
  • Remote HIPAA Annual Training
ASC Coding Services
Coding Support
  • Ideal for new facilities not yet ready to hire a full time coder as well as established ASCs in need of additional assistance, or full coding support.
  • Temporary and long-term coding assistance is available.
  • Your facility will be assigned a certified coder who is an expert in ASC coding, with experience in your facility's case mix.
  • No minimum monthly volume requirements.
  • Tiered pricing is available pending specialty.
Coding & Reimbursement Help Line
  • Our expert ASC coding staff who can assist your ASC with difficult coding and reimbursement questions.
  • All responses are based on correct coding guidelines from the most authoritative sources.
  • Ask about our convenient help line coding question packages.
Audit Services

Accurate and inaccurate coding practices have a direct impact on revenue, so it's essential to establish a coding audit program. Coding audits may identify any areas of deficiency that can directly affect your profitability.

Regular coding audits are highly recommended to ensure your coding staff has a working knowledge of current coding guidelines. CCM will recommend an ideal audit frequency (monthly, quarterly, semi-annually, annually) based upon results from an initial baseline audit.

A CCM Coding Audit Program will:
  • Identify areas of coding deficiency.
  • Provide detailed audit and summary reports.
  • Explain variances and provide recommendations based on credible documentation.
  • Serve as an educational tool for your coders.
  • Meet or exceed your compliance objectives, as well as OIG requirements.
  • Post-audit calls are available.

CCM has flexible pricing based on the frequency of the audit (monthly, quarterly, semi-annually, annually) and the number of charts reviewed.

Pre-Employment/Employee Testing

Ascertain coding strengths and weaknesses using our standard or custom-designed ASC coding exams. Our detailed results report will provide management with information required to make employment and staffing decisions based on current facility case mix. The reports will:

  • Highlight areas of coding excellence.
  • Pin-point areas that require improvement.
  • Identify training solutions to increase coding compliance
Accreditation, licensing and regulatory compliance Clinical assessment Quality and performance Improvement assessment Materials management assessment Infection control assessments Safety and risk management evaluation Human resources and credentialing assessment Staffing Efficiencies
Contact us now to discuss your ASC facility needs.
News of note ...

2-Day Virtual Seminar

Join ASC experts John Goehle, Ann Geier, and Cristina Bentin for this intensive 2-day, virtual seminar with finance, accounting, and revenue cycle aspects explained!

ASC Administrators, Nurse Managers, and Business Office Managers face unique challenges in managing the financial aspects of an ASC and understanding the crucial role coding experts play. This seminar will discuss all aspects of finance, accounting, and reimbursement in the ASC setting. It is ideal for anyone interested in understanding basic finance principles as well as those that know finance but want to learn more how it differs in the ASC setting.

This virtual seminar will also provide an understanding of reimbursement and coding in the ASC setting and its impact on your organization’s financial health.

AEUs and AAPC CEUs are respectively pending for CASC Certified Administrators, Physician Practice Managers, Auditors, Compliance officers, Coding and Billing professionals.