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CODING, BILLING AND REIMBURSEMENT

Millennium Healthcare Consulting, Inc.’s®, team of professionals possess the expertise to perform an objective assessment of the “financial and operational pulse” of your medical practice or hospital-based central business office function. We focus on the BIG PICTURE aimed at the greater bottom line results!

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Our objective and independent assessments review key critical points of the charge capture process by identifying potential revenue enhancement areas and potential compliance risks. Some of the areas of review include:

  • Targeted Coding Reviews to ensure coding is consistent with the level of care rendered with the goal of optimal reimbursement and payment for ALL services rendered. Any compliance risks, if present, will be identified and addressed
  • Billing/Collection Procedures reviews, including Claims Denials/Appeals Process and Accounts Receivable Analysis by Major Third-Party Payors
  • Assess Aged Receivable Follow Up and Collection Performance to Industry “Best Practice” Standards.
  • Conduct Managed Care Contract evaluation and negotiations
  • Review internal controls of the charge capture process to ensure accountability of all clinical services rendered.
  • Capitation feasibility analysis, if applicable

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