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Coding Audits (Pro/Fee & Facility): Ensure Accuracy, Maximize Reimbursement, and Reduce Compliance Risk
Original price was: $10,200.00.$9,200.00Current price is: $9,200.00.
Coding Audits (Pro/Fee & Facility) — Project. Coding accuracy ↑, audit risk ↓
The Coding Audits (Pro/Fee & Facility) service by Remote Practice Managers, Inc. delivers expert audits that uncover errors, optimize documentation, and protect your practice from compliance risks while maximizing reimbursement.
💲 $9,200.00 per month (per practice location)
- Includes comprehensive Pro/Fee and facility coding audits, compliance alignment, provider education, and monthly executive reporting.
- Optional add‑on: $2,500.00 per month for quarterly deep‑dive audits, payer‑specific benchmarking, and advanced compliance workshops.
1000 in stock
Description
Coding Audits (Pro/Fee & Facility)
Engagement: Project | Delivery Time: 2-3 weeks | Tier: Essential
Project Summary: Risk-based audit with provider feedback and compliance-ready documentation.
Deliverables
- Probe/audit sample
- Findings report
- Education session
- Compliance file
ROI Impact: Coding accuracy ↑, audit risk ↓
Great For: Hospital-based, surgical, specialty clinics
Accurate coding is the backbone of a healthy revenue cycle. Errors in professional (Pro/Fee) or facility coding can lead to underpayments, denials, compliance penalties, and even audits from payers or regulators. The Coding Audits (Pro/Fee & Facility) service provides a comprehensive, technology‑enabled review of your coding practices—ensuring accuracy, compliance, and optimal reimbursement.
What’s Included:
- Comprehensive Coding Reviews
- Detailed audits of Pro/Fee and facility claims across specialties.
- Identification of under‑coding, over‑coding, and documentation gaps.
- Compliance & Risk Mitigation
- Alignment with CMS, OIG, and payer‑specific coding guidelines.
- Audit‑ready documentation to reduce compliance exposure.
- Revenue Optimization
- Detection of missed opportunities for legitimate reimbursement.
- Recommendations for coding improvements that increase revenue integrity.
- Provider & Staff Education
- Customized feedback sessions with providers and coding staff.
- Specialty‑specific training to prevent recurring errors.
- Technology‑Driven Insights
- Use of advanced audit tools to identify trends and systemic issues.
- Benchmarking against industry standards and payer expectations.
- Performance Monitoring
- Executive reports summarizing audit findings, compliance risks, and revenue impact.
- Ongoing monitoring to track improvements and maintain coding accuracy.
Why It Matters
Coding errors don’t just cost money—they create compliance risks that can jeopardize your practice. With Coding Audits (Pro/Fee & Facility), your organization gains a scalable, compliant, and proactive system that ensures coding accuracy, protects against audits, and maximizes reimbursement. Instead of coding being a liability, it becomes a strategic advantage that strengthens both compliance and financial performance.
📊 Before & After Coding Accuracy Snapshot
| Before (Error‑Prone Coding Practices) | After (With Coding Audits: Pro/Fee & Facility) |
|---|---|
| Frequent coding errors (under‑coding, over‑coding, missing modifiers) | Comprehensive audits identify and correct coding errors across Pro/Fee and facility claims |
| High denial rates and delayed reimbursements | Clean, compliant claims reduce denials and accelerate payments |
| Revenue leakage from missed coding opportunities | Optimized coding ensures maximum legitimate reimbursement |
| Increased compliance risk and exposure to payer or regulatory audits | Alignment with CMS, OIG, and payer guidelines reduces compliance risk |
| Providers and staff unaware of recurring documentation gaps | Targeted education and feedback prevent repeat errors |
| Leadership lacks visibility into coding accuracy and financial impact | Executive reports and dashboards provide actionable insights |
| Coding seen as a liability and administrative burden | Coding becomes a strategic advantage that strengthens compliance and revenue integrity |
📊 Value Proposition: Coding Audits (Pro/Fee & Facility)
Why Choose Coding Audits? Because every coding error puts your revenue and compliance at risk.
✅ Ensure Accuracy & Compliance – Comprehensive audits align your coding with CMS, OIG, and payer guidelines, reducing compliance exposure. ✅ Maximize Legitimate Reimbursement – Identify under‑coding, over‑coding, and missed opportunities to capture full, rightful revenue. ✅ Educate & Empower Providers – Targeted feedback and training prevent recurring errors and strengthen documentation practices.
Result: A proactive coding audit solution that transforms coding from a liability into a strategic advantage—protecting compliance, optimizing reimbursement, and strengthening revenue integrity.
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