Physician Coding and Billing Audit Services

KA Consults has a variety of tools to assist providers in the evaluation of their physician practices. Our tools examine the following areas of compliance and reimbursement: coding, documentation, billing and revenue capture. We provide these services for hospital-owned and independent practices.

We understand the challenges that hospitals and physicians face in terms of incorporating their respective billing operations into a functional whole. We have worked with numerous hospitals and health systems to integrate new physician networks and transition ancillary providers into the hospital revenue cycle, which ensures optimal reimbursement.

Blending our best-of-breed data analytics with more than 35 years of consultative expertise, we work to reduce coding, billing and compliance risks by identifying problematic areas, suggesting corrective actions and monitoring progress.

Our Physician Practices Coding and Compliance Services include:

• E/M Review – reviews physician documentation and billing, including E/M, CPT and ICD-10 assignment
• Chart-to-Bill Audits – ensures that physicians are accurately billing for all services rendered
• Billing and Coding Benchmarking – provides a variety of methods for evaluating hospital physicians: coding, revenue capture and billing practices
• Physician Practice Analysis – evaluates coding, billing, utilization and A/R to provide a high-level assessment of a physician practices. Ideal for a pre- or post-acquisition scenario.