Physician Practice Guidance provides audit support to physicians who are the subject of healthcare investigations and audits.
We provide chart reviews and audits of billed claims and remittance advices working with defense attorneys, in situations where physician billing is audited for medically unnecessary services or procedures, upcoding and other billing activity. Physician Practice Guidance has significant experience in the review of data to respond and defend against healthcare investigations and audits.
Additionally, Physician Practice Guidance provides internal audit services and the development of revenue cycle policies to ensure compliance with ICD 10 and CPT guidance, Federal and state law.