Comprehensive Auditing and Compliance Program

First Professional Services is here to offer you smart solutions in an ever-changing reimbursement world. Providing reliable coding and billing services for over 25 years, we are your business partner with the expertise and resources you need to be successful.

We are here to offer you a comprehensive auditing service. We know you provide the utmost quality care to your patients, let us help you report and be reimbursed appropriately for it. We have a team of certified coders with expertise in a wide variety of specialties. We offer evaluation and management and surgical documentation/coding audits.

What will we do?

  • Work flow analysis of documentation and coding cycle: evaluation of who is involved in the documentation and coding process at your clinic.
  • Review of current documentation and coding: identification of any deficiencies, and highlighting of well-functioning areas.
  • Assessment of electronic health record usage: evaluation of whether your EHR is being used appropriately, effectively, and compliantly.
  • Relay findings to appropriate staff: an onsite session to review findings and offer any necessary coding and documentation education. Work flow analysis, audit findings, and your input will help us determine who should be present during this education session.

Detailed audit findings and an in depth summary will be provided prior to onsite audit delivery. If additional training is desired beyond audit delivery, we are happy to provide such services.

Evaluation and Management services are the most frequently reported codes across most specialties. E/M codes have gained scrutiny in recent years from the OIG and CMS. Additionally, procedural/surgical services continue to be closely watched, particularly with the coming of new modifier 59 definitions in 2015. A complete understanding of E/M guidelines and CMS documentation and reporting requirements is imperative for successful and appropriate reimbursement. Coding guidelines are ever changing, as is the way documentation functions in the electronic health record world. Do not become a target or an audit risk! Empower yourselves and your staff to know the ins and outs of coding compliance and stay one step ahead of the game. Annual audits, review of compliance policies, and review of clinic processes will ensure that your clinic never falls behind.

optimal care > optimal documentation > optimal compensation