September 26, 2024
The shift from volume-based to value-based care in the healthcare industry revolutionizes how medical services are provided and reimbursed. While
Medical Coding & Billing Compliance
As a provider dealing with Medicare, Medicaid, and other payers, it is vital to have effective medical coding and billing compliance programs to detect and prevent fraud, abuse, and other illegal activities. The failure to implement Office of Inspector General (OIG) coding compliance procedures and policies can result in delayed reimbursement, underpayment, overpayment, and even expensive litigation that could lead to steep financial penalties and prison time. Symbion Coding offers a full-suite medical coding compliance service to help your organization comply with OIG requirements and prevent risks associated with compliance incidents. As your medical coding and billing compliance partner, we’ll help you develop and implement a plan to meet Centers for Medicare & Medicaid Services (CMS) coding and documentation guidelines and other government regulations.
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Development of Customized Compliance Plans
Our experts work with management to understand your organization’s needs and develop a bespoke medical coding and compliance program that keeps you compliant today and prepared for future changes. This program creates a coding compliance checklist, documentation guidelines, compliance processes, and other internal control measures to help you adhere to relevant statutes and regulations.
Compliance Monitoring
We go beyond just helping you develop and implement a compliance program. We also act as an auditing arm that ensures your organization follows all established controls and processes. We check your current coding, documentation, and billing procedures to verify that they meet statutory guidelines. When you work with Symbion Coding, you will never have to worry about compliance issues or the steep penalties that come with non-compliance.
Medical Compliance Audit
Our certified professionals are adept at reviewing providers’ documentation, coding, billing policies, and procedures to ensure they meet CMS and other government requirements, guidelines, and regulations. We will assess the accuracy of your documentation and coding, check the medical necessity for services provided, and identify areas where you need improvement. We have you covered whether you need a single or an ongoing medical compliance audit.
Why Choose Our Coding and Billing Compliance Services?
Certified & Experienced Professionals
Our coding and billing compliance experts have years of experience helping healthcare practices and providers stay compliant with Medicare and Medicaid. We pride ourselves as one of the field’s most skilled and experienced experts.
Tailored Solutions
We develop and administer compliance programs based on your unique needs and challenges. Our key strength lies in our ability to understand your organization’s specific issues and create a bespoke program to achieve the best outcome. We are renowned for developing programs that are even more stringent than the models published by CMS and commercial plans.
Highly Competitive Pricing
At Symbion Coding, we aim to help you succeed, not just stay compliant. So unlike other companies, we charge a flat fee for our services. We don’t take a share of the revenue we help you uncover.
One-Stop Service
We can help you cover everything, including developing and implementing compliance plans, monitoring your internal control procedures, executing medical compliance audits, and more. Whatever your needs, Symbion Coding can help.
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Let’s Discuss
Do you have questions about medical coding and billing compliance or want to learn more about our services? Please, contact our team today. We would love to hear from you.