Anesthesia & Pain Management Compliance Auditors

COMING SOON! ACE Christmas Gift 2017

It’s The Most Wonderful Time of the Year!

Yes, the ACE Christmas update is back!  However, this year we are doing things a little differently! 

This year’s presentation is approved for 1 CEU through the AAPC and will be available for purchase on our website December 20th, 2016.  The presentation will be 90 minutes in length, will go over not only the CPT/ASA changes for 2017 but, Dr. Engels will provide guidance on what anesthesia and pain management providers need to know about MACRA.  The seminar will conclude with specific steps that need to be done in order to get ready for the anticipated new payment methodology. 

The price of the presentation is free if you were an ACE auditing or coding client in 2016.  However, if you were not a client this year we are still offering a great deal! The cost of the presentation will be offered at a discounted rate of $55.00 until January 15th.  The price will be $155.00 after January 15th.

 We hope that you will join us in preparing for the New Year.  Happy Holidays.

Consulting

Process Review

Business Planning & Operational Audits

Monthly Auditing Program

Reimbursement Review

Compliance Review

Coding Services

The Experts in Anesthesia Compliance and Pain Management

Compliance Review

Our on-site compliance review is a comprehesive audit that begins with provider documentation and ends with account activity and collection notes. This review is structured to:

  • Fulfill annual compliance audits as a part of an internal compliance program.
  • Assess code assignment accuracy and compliance for services through a review a documentation and coding.
  • Review reimbursement for accuracy and comparison to MGMA and ASA benchmark data.
  • Fulfill requirements for annual education.

The results of an on-site compliance review will include but is not limited to the assessment of the following:

  • Pre-evaluation and plan documentation

  • Medical direction or supervision documentation

  • Relief services documentation

  • Concurrent case review

  • Time analysis, which includes monitoring and rounding analysis

  • Ancillary services documentation

  • Evaluation and management services documentation

  • Post-operative rounding documentation

  • ICD-9-CM and CPT-4 coding review

  • Base unit discrepancies

  • Modifier designation

  • Medical necessity for MAC

  • Assessment of PQRS measures

  • Compliance with Correct Coding Initiative (CCI) bundling edits

  • Verification of appropriate completion of records to comply with carrier billing requirements

  • Reimbursement Analysis

Reimbursement Review

In today’s environment, every dollar counts. Every practice needs a watchdog that ensures managed care contracts are followed, co-pays are collected, and collection activity is done in a timely, effective manner. Many hospital agreements require an outside look at collections when stipends are involved. ACE provides an objective opinion and accountability through our process.

Our reimbursement review incorporates education and training for your entire staff. ACE works independently to ensure the billing company or your staff is doing everything legally possible to effectively collect money owed.

Outsourcing billing requires special physician oversight and responsibility. Not only must you ensure claims are submitted correctly, but the practice is getting paid properly for what is performed. In recent reimbursement audits, we have found numerous errors of incorrect physician compensation. These audits focus on accounts receivable reports, contracts, explanations of benefits and denials received from claims files to streamline your bottom line.

Coding Services

Our Coding Division consists of certified, highly experienced staff in the specialty of anesthesia and pain management. ACE Coders are utilized as an extension of many practices and billing companies’ coding departments for both long and short term projects. Our coders are production-based, priced by the record.

A coding engagement begins with a planning call to discuss your group’s specific needs such as volume, frequency, turn-around time, and workflow. We have a great deal of experience with remote coding workflow and are equipped with tools to ensure an efficient and productive coding process. As with all our services, ACE will tailor the process to best suit your business.