Coding & Documentation
Coding and documentation are the cornerstone of your revenue cycle. Paragon Business Advisors (PBA) can help ensure you are accurately capturing correct code levels based on the true complexity of your patient encounters. By furnishing necessary provider and/or staff education, we can ensure that your practice is capturing all appropriate revenue and reducing preventable risk. Inaccurate coding is the leading source of lost revenue. Let us help you!
Audit and Education
By performing regular audits, you can proactively identify potential CPT/ICD-10 coding errors and compliance concerns. Our PBA certified coders and experienced audit professionals can perform a wide variety of coding audits across multi-specialties. Audits may focus on Evaluation and Management (E&M) services, as well as procedures and surgeries.
Providing results of the audit, along with customized provider and staff education is key to improved coding across the organization. At Paragon we understand that each specialty, and in fact each provider, is unique in how they approach their coding and documentation. Therefore, we use each provider’s own documentation in our education sessions. Education sessions may be performed in group settings or as more personalized individual one-on-one meetings.
Clinical Documentation Improvement (CDI)
CDI programs are not just for inpatient facilities. An ambulatory CDI program can help to improve patient outcomes, data quality and revenue of your private and integrated practices. A more complete and accurate medical record allows for the reporting of all conditions impacting patient care. This can translate into improved practice revenue and more accurate patient risk scores…very important for Medicare Advantage plans and for more successful participation in Medicare’s Quality Payment Program (QPP).
Paragon Business Advisors can help your organization with the following:
Assessment
Program development
Training and education
Metrics and measure of success
Outsourced Coding Services
PBA has a team of experienced certified coders who can assist you short-term (to help clean up a coding backlog), or on a long-term basis, serving as an adjunct to your coding department or as your full-time coding resource. Either way, we have the specialty-specific expertise to get the job done timely and accurately!
Compliance
Let PBA assess your current compliance efforts. We can help to identify gaps in your existing plan and then together with your management team, develop a strong compliance program in support of all your coding and documentation, auditing and education efforts.