Especially for Attorneys Representing Physician Practices

Do your physician practice clients realize?

•        CMS can take back previous reimbursements after an audit?
•        EMR templates, EMR logic or EMR misuse can create documentation,
          coding and billing risk?
•        They can take preventive measures to gauge their audit risks?

How can you help your clients with these issues?

•        Pre-audit prevention review
•        Reimbursement compliance plan update
•        Dispute resolution and negotiation
•        Reimbursement audit defense
•        Private payor appeal process in contracts

What can you do now to reduce your clients’ audit risks?

•        Explain the multiple layers of audits (RAC/CERT/ZPIC/OIG)
          and motivations of the auditors
•        Emphasize the financial impact of audit results and imminent RAC national rollout
•        Encourage thorough evaluation of specific practice reimbursement audit risks
•        Stand ready to defend the practice when audit notices arrive

KarenZupko & Associates are physician practice management experts who can:

•        Identify audit risks related to E&M and surgical coding,
          documentation and claim submission
•        Evaluate validity of payor-requested chargebacks
•        Ensure practices are capturing all allowable reimbursements for services provided
•        Offer customized onsite coding and documentation compliance education

KarenZupko & Associates has practice management expertise in: