Preparing for the RACs
Identify Risk Areas
Implement DRG audits
Assign a nurse auditor to review medical necessity & high-risk areas
Billing Compliance
Pharmacy/Ancillary Charges in Chargemaster
Healthcare News
Healthcare Services
Our Healthcare experts specialize in strategic planning, organizational development, physician compliance programs, HIPAA updates, facilities management, auditing services, and tax services.
Helping our
hospital, surgery center and
physician clients meet the challenges of today's healthcare environment:
Decreasing cash collections
Coding and documentation updates
Litigation issues
Amper is one of the largest independent CPA,
accounting,
tax preparation, and
auditing firms in the New Jersey, Pennsylvania and New York region.
Presented by
Amper’s Healthcare Services Group
- Identify Risk Areas
- Inpatient
- Surgical Procedures in Wrong Setting
- Excisional Debridement
- IRF Services Following Joint Replacement Surgery
- Cardiac Defibrillator Implant in Wrong Setting
- Treatment for Heart Failure & Shock in Wrong Setting
- Respiratory System Diagnoses with Ventilator Support
- Extensive OR Procedures Unrelated to Principal Dx
- DRG Changes Due to Wrong Dx Code or Principal Assignment
- DRG Changes Due to Wrong Procedure Code(s)
- Outpatient
- Speech-Language Pathology Services
- Infusion Services
- Colonoscopies
- Physician
- Pharmaceutical Injectables
- Vestibular Function Testing
- Duplicate Claims
- Implement DRG audits
- Monitor upcoding/downcoding
- Assign a nurse auditor to review medical necessity & other identified high-risk areas
- Billing Compliance
- Review bill error/correction reports
- Review incorrect units billed
- Pharmacy/Ancillary Charges in Chargemaster
- Verify units of service
- Verify correct dosages
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