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Documentation & Coding Audits
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Insurance companies are increasingly using chart audits to see if codes billed are properly documented. Refund requests for "overpayments" based on inadequate documentation is becoming common place. With Medicare, this can not only result in large pay backs from the physician, but also may be considered fraud. MMS recommends that all practices have a preventive Documentation and Coding Audit once or twice a year. MMS will audit a sample of your charts and provide a detailed report comparing the codes billed with the codes levels the documentation supports. MMS can assist your practice in educating the providers in proper documentation for the services provided.
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