Anesthesia & Pain Management Compliance Auditors

2021 Anesthesia and Pain Management Update Video

Includes everything you need to know about the first revision to EM codes in over 20 years!

This recorded presentation by ACE Auditors is 1.5 hours in length and includes 2021 CPT/ASA/ICD-10-CM changes for anesthesia
and pain management. This presentation is also worth 1 CEU from AAPC.

Available for only $59 until Jan. 31st!

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Critical Care, Respiratory and Telehealth Coding. Helping the best way we know how.

As promised, ACE is doing what we can to support our friends and clients on the front line. We understand “combat effectiveness” and realize all of us need to pull together to achieve the mission of supporting our medical providers.
Providing education for coders and providers is what we do best. There are two presentations available on our website linked below:

Free COVID-19 Presentation for Coders

Presentation 1: 80 minutes for CODERS, group administrators or any hospital employees that need training in coding for critical care, respiratory, inpatient visits and telehealth coding, the full training is available under “Services Outside the OR: Critical Care, Respiratory Therapy and Telehealth- 90 Minute Training.”

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Free COVID-19 Presentation for Providers

Presentation 2: 45 minutes for PROVIDERS a “need to know for documentation purposes”, a condensed version is available under “Anesthesia Provider Training: Critical Care, Respiratory Therapy and Telehealth- 45 Minute Training”.

Get Instant Access »


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.