At Lighthouse Healthcare Advisors, our medical coding, compliance, and education services help to minimize risk caused by improper documentation or inaccurate billing that may result in fraud/abuse, liability, or financial penalties. 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 internal audit and compliance procedures can easily turn an honest billing mistake into a false claim that is subject to penalties.
We assist organizations in establishing a process for medical coding and healthcare compliance audits that significantly reduces the number of overpayments and other payment oversights. Our medical 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 medical coding needs. Whether your team is overwhelmed by excess volume, or you are looking to have the stress of accurate, optimal, and compliant medical coding outside your organization, Lighthouse Healthcare Advisor’s AAPC certified professional coders are here to help with our medical coding services. By offering our clients options for domestic, global, or hybrid coding services, 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 form to get in touch today about our coding services.
Medical Coding and Healthcare Compliance Audits
With Lighthouse Healthcare Advisors, you will get a personal approach to the coding audit and documentation review process. After analyzing your areas of specialty, we select records for coding audits and regulatory compliance audits based on your common coding practices. Focusing on CPT and ICD guidelines and usage, we provide professional feedback with formal findings presented by our medical coding specialist. Our advisor spends time one-on-one with providers and their teams to ensure proper documentation, medical coding, and compliance best practices to improve claim denial rates and reimbursements.
LHA’s medical coding audits and compliance audit services include:
- Audits 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 medical coding and healthcare compliance inquiries with written reports
- In-person audit review and education with physicians and staff
We will find opportunities for improvement and support your organization with correct medical coding initiatives.
On-Site Medical Coding Education
Medical coding is complex, and updates occur regularly. LHA’s coding education specialists understand the importance of auditing for compliance and education on these continuous updates. Our team of AAPC certified medical coding specialists have vast experience in medical coding, internal audits and compliance training to assist you with all your medical coding challenges.
LHA will keep you and your team up to date on industry changes by offering the following 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. Outlined below are a few of the specialty groups that LHA has previously worked with:
- Psychiatry and Psychology
- Pain Management
- Physician Practices
- Primary Care
- General Surgery
- Breast Surgery
- CHF Clinics
- Wound Care Clinics
- Infectious Disease
- Gastroenterology (GI)
- Home Health
- Ambulatory Surgery Centers (ASCs)
- Federally Qualified Health Centers (FQHCs)
- Urgent Care
Contact us today at 410.252.0804 or reach out online to schedule a consultation and learn more.