We offer Clinical Documentation Improvement (CDI) program solutions geared towards assisting physician practices with aligning their health record documentation with coding guidelines. CDI program an influential impact on the physician practice’s power to sustain financial viability. Obtaining appropriate reimbursement for services, demands that physicians and clinicians adjust to ever-increasing requirements for documentation precision and specificity.
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We offer a comprehensive array of coding services to support providers, no matter the setting. We have experience coding the following specialties: Emergency Medicine, Endocrinology, Family Practice, Federally Qualified Health Centers (FQHC), Gastroenterology, General Surgery, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Podiatry, Psychiatry, Pulmonary Medicine, Occupational Therapy and Physical Therapy Services.
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In the ever evolving and complex world of health care, ongoing training is critical to keep up with changes to payer regulations, codes and payment policies. Physician Practice Resources, Inc offers customized training solutions to meet the needs of small, medium and large healthcare organizations.
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As experts in the physician office, we provide solutions that assist with the operational side of the physician practice. Our services include, but are not limited to: Project Management, New Practice Start-up and set-up, Operational Assessments, Interim Management Services and Development of Policies and Procedures.
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Claims submitted to insurance companies can be denied due to a variety of reasons, such as demographics, enrollment, eligibility and preauthorization and coding. Coding-related denials should always be reviewed by a certified coding specialist. Insurance companies are banking on the fact that your practice does not have the resources to review coding related denials. Let us help you collect the reimbursement you deserve by allowing us to work your claims due to coding.
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Our compliance and integrity solutions are designed to help physician practices comply with federal and state regulations. Having a solid compliance program helps to reduce exposure, fines and penalties by identifying potential problems before they become overwhelming. We have the expertise needed to assist physician practices with preventing, detecting, and correcting potential compliance issues. We will guide you through the process of developing, evaluating and revising your compliance program.
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