Services
Due Diligence
Mergers and acquisitions in the healthcare industry come with many opportunities, risks, and uncertainties. As an investor, you are expected to conduct an in-depth investigation to confirm that the target company complies with regulatory requirements. At Symbion Coding, we offer billing and coding due diligence services to help you uncover hidden risks and identify potential opportunities.
Importance
Take risks out your mergers and acquisitions
Our due diligence experts will partner with you to thoroughly review the risks associated with the target company’s coding and billing practices such as coding accuracy, clinical documentation and evaluation & management (E/M) code distribution compare to similar specialty and geographic area.
Initial consultation
We begin our medical practice due diligence process by meeting with your team to discuss the project’s scope, establish communication protocols, and determine deliverables.
Get the required data from you
We obtain data from you, such as claims reports for a specific time frame, patients’ records, and billing claim summaries, via a secured and HIPAA compliant channel.
Audit
Once we receive all relevant data, we commence the audit process. Our team will contact you if we have questions or need clarification on the data.
Final report
You receive a report that shows errors and identifies possible root causes, opportunities for documentation improvement, analysis of results with potential impact, and recommendations to address identified issues. Our report is strictly confidential, and we routinely work with attorneys to ensure attorney-client privilege.
Meeting with clients
We are open to answering questions and explaining any medical coding, billing issues, and other concerns in the report.
Client-Focused Company
Benefits of our medical practice due diligence services
Like all other business transactions, due diligence is important in healthcare mergers and acquisitions. It helps both parties uncover hidden sensitive information and get a complete picture of the billing and coding practices of the organization they want to acquire. Our medical practice due diligence services can help you:
Ascertain whether E/M documentation meets all appropriate guidelines
Identify possible missed opportunities for HCC codes for Medicare Risk Adjustment
Determine if diagnosis and coding guidelines are followed
Find out if file documentation routinely supports medical necessity
Determine whether medical records are copied and/or pasted versus individually prepared for each unique patient
Assess the organization’s medical coding compliance and revenue cycle
Why choose our due diligence services?
Highly experienced team
Our certified coding, audit, and due diligence experts have decades of experience performing assessments and providing all the information healthcare practices need to make informed business decisions.
Affordable pricing
We charge an affordable flat fee for all our services and tailor our solutions to meet your healthcare practice’s unique needs and requirements.
Committed to your success
We are renowned for our commitment to helping our clients with their coding and billing due diligence. We always do our best to uncover risks and potential opportunities associated with your coding and billing.
Quick turnaround time
We understand that M&A deals move very fast, so our experts work around the clock to offer a fast turnaround on our medical practice due diligence services.
Impeccable customer service
We provide ongoing support throughout the merger and acquisition process. We are always happy to answer your questions and resolve any queries you may have.
Let’s discuss your M&A
Schedule a consultation with us today to find out how we can help you assess risks and uncover unforeseen liabilities in your M&A. Our medical coding due diligence experts would love to hear from you.