Billing Compliance
AUDIT Report  

A line-item analysis of submitted patient claims, to be used to identify potential coding errors in order to prevent or defend against compliance issues.   The report uses a series of "alert codes" to report suspect coding combinations. The reports are specific as to the individual patient and date of service, as well as other billing detail to enable the user to reference the appropriate medical records.

Executive Summary

A collection of reports designed to provide a summary of alert codes, detailed by physician or practice.

Practice Alert Summary

The Practice Alert Summary report will provide, in both viewable and printable form a summary of the practice's alert codes. The detail of this report includes the number of units the system has identified for each alert code, and the associated gross charges. The report also identifies the percentage of gross charges associated with the alert codes in comparison to the practice's total gross charges. This analysis is based on the user defined date range. 

Practice Alert Detail

The Practice Alert Detail report provides a summary of the practice's alert codes detailed by provider. Within each alert code the alert count and associated gross charges are indicated. The report also identifies the percentage of gross charges associated with the alert codes in comparison to the practice's total gross charges.  

Provider Alert
Summary

The Provider Alert Summary report will provide, in both viewable and printable form a summary of the physician's gross charges, gross charges that are associated with the alert codes, as well as the percent of those gross charges in comparison to the physician's and practice's total gross charges. In addition, the report details each alert code and the number of units and gross charges attributable to the individual codes for that physician. This analysis is based on the user defined date range.