Medical Coding and Billing
• Billing of Modifier 25
• EHR expertise
• Coding from the clinical record
• Revenue cycle management



Creation and Review of Medical Practice and Hospital Compliance Programs
• Install voluntary OIG program
• Programs that live compliance every day
• Written policies and procedures


Physician Productivity and Compensation Issues
• Creation of RVU and performance standards
• Negotiation within private practice and hospitals
Medical Records Audits
• Carrier, RAC, ZPIC audits
• Medicare appeals
• Contract insurance company appeals
• Regularly called upon as an expert witness for healthcare billing, coding and physician compensation



Negotiation With Insurance Payers
• RVU-based payment system
• Performance outcome measures


© 2014 Marty Neltner. All Rights Reserved.

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