For many medical practices, simply hearing the word “audit” may very well strike fear in all staff members. Visions of being ambushed by scary folks with the power to stop your practice of medicine may rush through your mind as you ponder a potential audit, but this does not need to be the case. At least, not when you have Quest on your side!
The fact of the matter is that audits do happen within the medical community. Several years ago Congress issued a mandate that required CMS to routinely audit all medical professionals. This act is entitled The Tax Relief and Health Care Act of 2006 and the name of the actual audit is the Recovery Audit Contractor (RAC) program. The reasoning behind the audits was so that potential fraud may be identified and to ensure that there is consistent and ethical professional systems amongst medical providers. In the larger scope of things, audits are actually a good thing.
Of course the best ways to handle an audit is to be prepared for one at all times. This is where the utilization of Quest services is your best defense. The staff at Quest is available to analyze your practice patterns, including all charting, coding and billing, in order to make sure that should an audit occur you are fully compliant. Just imagine how confident you will feel about an impending audit if you know you have Quest on your side!
Quest offers an RAC Baseline/Coding Audit which will fully analyze your current practice patterns. Once the analysis has occurred, Quest will provide you with our detailed findings. Additionally, we will take the time to review our report with you in order to make sure that you are well informed about our findings. We will make recommendations to improve your coding and hopefully even boost your reimbursement levels.
Our specially trained staff here at Quest are experts in ICD-9 (and the forthcoming ICD-10), CPT, EMR and HCPCS. They also engage in routine continuing education to make sure that they are fully skilled at analyzing the performance of your medical group. We at Quest will examine your coding procedures, billing practices, utilization of EMR or other charting and any other item that may be examined by outside auditors. We will make absolutely certain that our analysis is thorough and our reporting to you is detailed.
With Quest as a member of your extended team, you can be fully confident that you will be ready for an audit at all times. Let us help to make sure that you get an A+ on any audit that comes your way!
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