Compliance Auditing
of Office Records
|
The quality & completeness of your records will determine if this check is being written to you or by you back to the insurance companies because your records were incomplete.
|
|
|
|
To get paid & be able to keep your money...
|
|
Your records need to be Complete Compliant & Consistent
-
Does your exam completely back up your plan of care and tests ordered?
-
Is your diagnosis congruent with the treatment ordered and rendered?
-
Does your billing reflect the actual services rendered?
-
Will you survive an audit?
-
Are you aware that health care lawyers now charge upwards of $500 per hour to audit and defend you?
-
Did you know that insurance companies are very patient and will review & analyze your bills and notes submitted up to five years before acting?
CMCS Management's Audit Department will review your records for:
-
Completeness of SOAP
notes
-
Thoroughness of evaluations & re-evaluations
-
Timeliness of evaluations & re-evaluations
-
ICD and CPT cross linkage
-
Claims matching services rendered
-
Services performed were ordered and services ordered were performed
-
Letters of necessity are clinically accurate
All chart audits are done in strict confidence complying with all Federal HIPPA regulations and your State Law
From the publication Family Practice Management, Ronald W. Bradshaw, MD, CPA writes "Given
the federal government's increasing interest in ferreting out health care fraud and abuse, practices that don't implement compliance
programs could be putting themselves at risk…. external audits, which may be prohibitive for smaller groups (a small practice
can expect to pay from $2,500 to more than $10,000 for an external audit, depending on its extent and the number of physicians involved)."
Cost:
$500 per complete audit with a report:
This will give you an understanding of your paperwork and the solutions needed to correct the deficiencies. This includes a one-on-one consultation after the audit to ensure you understand the problems and the remedies required.
To get started or to chat, contact:
Michael Schonfeld DC, DABCO
(516) 695-7732
Chirodoc006@gmail.com
Testimonials
"After cruising along for 12 years and keeping notes my way, I came across this Web site and decided to be pro-active and
get a check-up on my records before the insurance companies did it for me. WOW! I learned 2 new words: FRAUD & ABUSE. My
records were so poor that if I had been audited, I would have been exposed to serious legal issues and probably would have been
paying back money for the rest of my career. I am thankful I had the opportunity to do it right, on my terms. This is the best
insurance policy I have ever gotten. A very big THANK YOU!” DD, Florida
"As fate would have it, the week after Dr. Schonfeld reviewed my records, I was retrospectively audited by an insurance
carrier. If I could turn back the hands of time, I would have gotten my records reviewed years ago because now I have to start
writing checks back to the insurance company. I know what I did wrong (lots) and I am now able to resolve the issues with
the carrier without lawyers, and that has prevented a significant amount of stress. The good news is that because of the record
review, I will never have to write these checks again and I can now sleep very well at night.” CL, New York
"Thanks for the butt-kicking! Your audit was more than I expected and I have much to implement. The truth is, I
spent the last year cleaning up my reports and in spite of that, I still had serious problems. You have made it very easy for me
to see how to do it right. I now can move forward with no fear of dealing with insurance companies or audits, should they
come my way.” JC, New Jersey
|
