HIM Partners

Having trouble determining the correct ICD-10-CM or CPT codes to describe your encounter-let us help you. We can do the coding for your Evaluation and Management (E&M) encounters and your procedures performed in your office or the hospital. We code from your documentation to ensure the codes are validated in your notes.

We will do audits of your present coding/billing to validate that it is correct and reflects the documentation of services provided. Feed back to your office personnel and provider is given to help avoid costly reimbursement issues if audited by outside agencies. Be proactive in preventing costly lost revenue and/or fines for inaccurate billing.

Denials are flooding in to most physician practices and facilities. 

There are certain steps that need to be taken to protect your revenue. Here are a few important ones: 

1. Review the proposed denial or downgrade. The carrier is not always correct with their reasoning for change or denial. Determine if it should be appealed.  

2. Do an appeal! Most carriers allow a limited number of appeals, so use your appeals with care. Appeal anything that has a reasonable chance for overturn, keeping in mind the amount of money it represents. If you accept all changes you can be targeted for reviews and can see the number of encounters reviewed at your practice or facility skyrocket! 

Limited resources, no problem….we can do reviews of your denials and determine if they should be appealed.