Reimbursement Services

Accurate coding and understanding payment methodologies assures appropriate reimbursement.  HealthCare Consulting Solutions’ coding audit and training covers:

Ambulatory Surgery & Emergency Services: 

Latest revisions to the ASC list optimizes coding within the ASC payment groups expanded and revised forms. In depth support available for specialty ambulatory surgery areas.

Concurrent Coding:
Reduce AR days and increase cash flow through HealthCare Consulting Solutions' Concurrent Coding Programs.  The company shows you how to design and implement a success-proven system to:

• increase case mix index
• reduce billing turnaround
• improve medical record documentation
• promote positive utilization and quality review with current regulatory standards
• monitor and reduce outlier issues
• enhance communications between departments

CPT/HCPCS Outpatient Coding:

Improve operations and recover thousands of reimbursement dollars in your outpatient facility while preparing for the new APG outpatient payment system. HealthCare Consulting Solutions' team of coding and reimbursement experts:

• analyze and assess CPT/HCPCS coding
• update your outpatient chargemaster descriptions, revenue codes, and UB-92 revenue codes
• ensure coding compliance with Medicare rules
• generate immediate cash flow by spotting eligible services not being charged

Chargemaster Update:

Review of central supply CDM (27X) and extended supply revenue code series to note the charge items that are non-covered and not separately billable to Medicare; covered and separately billable to Medicare; and those that are sometimes billable to Medicare.  Includes one-on-one education with department managers/directors involved in supplies and supply management, pharmacy and APCs related to pass-through items.  An accurate Chargemaster is critical for APC Ambulatory Payment Classifications billing and payment.

ICD-9 Coding/DRG Audit:

Improve DRG and outpatient reimbursement with better coding.  Program identifies physician documentation and coding issues that lead to payment problems and unfavorable outcome measurement studies.  HCS reviews records to

• Calculate average increase per case
• Project annual impact
• Identify cases for adjustments
• Provide training

HealthCare Consulting Solutions
P.O. Box 20359
Louisville, KY  40223
Jerry Miller, Vice President
800/375-1569