Special Focus Audits

Our full range of audit services also includes the following:

EMR Coding / Documentation Review

EMR’s are providing many benefits for medical documentation; however, because of the complexity of coding, most EMR’s are still not able to accurately code based on the information entered. For many physicians, our audits are bringing to light coding risks they were not aware of and inefficiencies they are happy to get help with. Our experts will review your templates and final documentation and then provide education and advice to maximize efficiency and accurate results.

Corporate Integrity Agreement (CIA) Audits

Are you under a mandatory CIA imposed by the government? Are you required to work with an independent entity to perform audits for your services? Millennium Healthcare has the necessary certified coders available to meet the Office of Inspector General’s requirements to meet your annual reporting needs.

Audit Validation

Internal audits are a great way to demonstrate your efforts to submit complete and accurate claims to payers. However, there may be times when you want to secure an unbiased, independent opinion to partner with you to ensure we agree with the findings of your internal audit team. External audits performed by our group can validate the findings of your staff and provide further evidence of the accuracy of your current documentation, coding and billing practices.

Attorney / Client Privilege Services

Millennium Healthcare continues to assist healthcare attorneys in providing expertise with various federal and third-party payor audit reviews. We serve as the expert witness for your coding and documentation issues. If you find yourself the target of a compliance audit or investigation and need advice, our experts can review your documentation and provide training and education on how to meet regulatory compliance directives.

RAC Audit Preparedness

The Recovery Audit Contractor, or RAC, program was created through the Medicare Modernization Act of 2003 (MMA) to identify and recover improper Medicare payments paid to healthcare providers under fee-for-service (FFS) Medicare plans. The United States Department of Health and Human Services (DHHS) was required by law to make the program permanent for all states by January 1, 2010 under section 302 of the Tax Relief and Health Care Act of 2006.

Prepare your practice for the pending RAC audits. Waiting for Medicare to audit you can be costly if you don’t know if your organization may be coding and billing improperly. Medicare claim audits may result in significant risk to revenue and profit margins for any healthcare provider. We can help your practice in advance by identifying any potential improper billing and coding practices and take necessary corrective actions prior to any RAC audits.

Contact us today at (215) 362-5355, or Contact Us to learn more about how Millennium Healthcare can assist your organization.