Coding & Compliance Review - Management Resource Group, LLC Coding & Compliance Review - Management Resource Group, LLC

Coding & Compliance Review

Coding & Compliance Review

The complexities of coding combined with ever changing federal regulations can leave your practice vulnerable to lost revenue, inappropriate reimbursement, or possible charges of fraud and abuse.  In this time of declining healthcare dollars and rising government scrutiny, a review by MRG is essential to enhancing revenue and decreasing compliance risks.

Retrospective Coding Reviews
Our coding reviews provide insight into your coding accuracy and whether the medical documentation supports the services billed.  We examine the evaluation & management, procedural, and diagnostic coding along with modifier usage, bundling scenarios and documentation deficiencies.  Statistical information on unspecified versus specified diagnosis codes is provided.  We can also conduct a revenue comparison if over-coding, under-coding, wrong or missed codes are found.  Detailed explanations along with supporting documentation are provided to assist in understanding correct coding guidelines.  Provider and staff education may also be provided by our team.

MRG works with you to isolate key problems in your coding, documentation, or billing practices and develop a plan of action for resolving these issues.  This is an effective tool for reducing your liability, protecting your assets and enhancing your revenue potential.

Full-Time and Temporary Coding
Pre-bill coding services are offered on an ongoing or temporary basis.  With minimal turnaround time, our program is designed to integrate seamlessly into your business operations.   We can customize the services based on your specific needs whether that includes coding all services or focusing on specific encounters, such as surgeries or E&M services.

MRG takes certification and continuing education very seriously.  MRG’s coding team members are certified by the American Academy of Professional Coders (AAPC).  We maintain a stringent internal audit process to ensure accuracy and provide unparalleled attention to detail and superior customer service.

Our Specialties

  • Allergy/Immunology
  • Ambulatory Surgical Centers
  • Anesthesiology
  • Breast Care Surgery
  • Cardiology
  • Cardiothoracic Surgery
  • Dermatology
  • Endocrinology
  • Family Medicine
  • Gastroenterology
  • General Surgery
  • Hematology
  • Imaging Centers
  • Infectious Disease
  • Internal Medicine
  • Neurology
  • Neurosurgery
  • OB/GYN
  • Oncology
  • Ophthalmology
  • Orthopedic Surgery
  • Otorhinolaryngology
  • Pain Management
  • Pediatrics
  • Plastic Surgery
  • Psychiatry
  • Pulmonology
  • Radiology
  • Radiation Oncology
  • Urgent Care
  • Urology
  • Vascular Surgery