compliance & collections

 

 

 

 

Clinical Practice Management (CPM) is dedicated to helping you ensure your documentation and billing are correct and in compliance. Because medical coding and billing is our area of expertise, we have our fingers on the pulse of industry trends and compliance issues, so you don't have any surprises:

  • Ensure proper billing and prevent coding errors

  • PQRS eligibility criteria

  • Functional Limitation Reporting

  • HIPPA standards and procedures

  • ICD-9 & 10 coding criteria

  • Collect deductibles and co-pays

  • Review and correct EOB's

  • Accurately post ledgers

  • Process Patient Statements

  • Built-in tool to check CPT codes against Medicare CCI rules

  • Check and re-check coding to ensure maximum collection

 

Did you know that on October 1, 2015 all therapy clinics must change to ICD-10 coding or they won't be reimbursed? CPM is already ahead of this compliance issue, working with our clients to ensure the transfer from ICD-9 to ICD-10 in a timely and effective manner.

 

Physician Quality Reporting System (PQRS) was developed to improve the quality of reporting and patient data throughout the healthcare industry, thus reducing claim fraud and optimizing the reimbursement process. PQRS is required for all eligible Medicare providers—including physical therapists, occupational therapists, and qualified speech therapists—meet criteria for the satisfactory reporting of certain outcome measures. CPM's in-line system supports rehab therapists with the tools to perform a certain number of applicable outcome measures on a designated percentage of Medicare patients, complying with PQRS requirements. The CPM system then allows Therapists to submit the results of each measure using a quality data code (QDC) modifier. At CPM we will ensure your data code entry is in compliance for proper reimbursement.

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