Millennium Healthcare Consulting, Inc.'s ® professional team of coding and
compliance consultants has performed independent coding audit reviews and
education for physicians and staff, healthcare facilities, third party billing
companies, CPA and law firms, and other healthcare organizations. Our objective
and independent assessments review key critical points of the charge capture
process by identifying potential compliance risk and potential revenue
enhancement areas. Some of the areas of review include:
- Patient registration and insurance verification processes
- Medical record documentation
- CPT and ICD-9 coding validation and linkage
- Medical necessity validation
- Appropriate use of modifiers
- Effective utilization and billing of nurse practitioners' and physician assistants' activities
- Review of Explanation of Medical Benefits (EOMB) statements and claim denials
- Identify potential missed revenue opportunities
