If your practice currently has a formal Compliance Program drawn up by an attorney, or you do not have a formal Compliance Program, this service is for you.

The key areas to address are the risk areas. These areas include:

• Medical Records that support E/M levels billed.
• Billing at the appropriate level of service.
• Avoiding unbundling of services.
• Avoiding billing not medically necessary services.
• Avoiding duplicate billing.
• Maintaining data integrity.
• Proper use of modifiers.
• Appropriate confidentiality agreements and policies.
• Proper Professional and Courtesy Discounts policies and procedures.
• Altering medical records appropriately.
• Not employing Sanctioned Individuals.
• Having all coding references and tools.
• Engaging the services of qualified external vendors for coding and medical record documentation reviews and educational programs.
• Refunding overpayments.
• Auditing and monitoring billing procedures.
• Appropriate Records management.
• Appropriate Coding orientation and training.
• Education and training on Compliance.

What makes PVNs Compliance Services different from other services offered is that our program solves the problem, rather than relying on education of physicians and staff and leaving it up to the practice staff to implement compliance.