The
first auditing software that identifies Medicare billing errors
and helps meet OIG compliance guidelines.
Every year, hospital and independent laboratories
lose millions of dollars in revenue and run the risk of enormous
fines due to mistakes in Medicare billing and compliance procedures.
Yet only a small fraction of laboratories conduct the kind
of probe billing audits that would identify errors and demonstrate
compliance with OIG regulations.
Now those probe audits can be done quickly and inexpensively
with MediBill Analyst, from Health Systems Concepts. This
software automates the probe auditing process with results
that meet or exceed OIG standards. Most importantly, it allows
you to document compliance oversight to reduce culpability.
Identify root causes of billing errors MediBill Analyst automatically
finds and highlights problem records:
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Tests conducted
but not billed |
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Tests billed
but not conducted |
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Tests for
which Medicare should have paid more or less than the
actual remittance |
Only MediBill Analyst conducts an automated 7-point validation
check for every audited record:
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Did the
laboratory perform the ordered test? |
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Did the test
results match the test’s billing code? |
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Is the test
a billable covered service under Medicare? |
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Was the CPT
or HCPCS code correct? |
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Did the payment
match your state’s Medicare fee schedule? |
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Were the diagnosis
codes and other required billing information accurate? |
|
ICD-9 codes
against laboratory NCDs and Medicare payer-specific LMRPs |
Only MediBill Analyst provides all the data you need to maintain
an effective billing compliance program:
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Identify
areas that require additional training |
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Find weaknesses
in the structure or content of electronic documentation |
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Validate
appropriate coding for services listed on the Laboratory
Charge Master |
|
Identify
potential problems in documentation |
|