Physician/Provider Claims Review

Physician/Provider Claim Review

Our consultant specialists will validate the billed E/M visit code against the documented encounter note in accordance with current CMS Evaluation and Management Documentation Guidelines. The claim review will ensure the physician or mid-level provider (NP, PA) has adequately documented the required elements for the key components intended to support the E/M visit code reported. Where applicable, CMS Teaching Physician documentation guidelines are applied to the claim review.