Do You Worry About Audits?

Have you ever thought:

Should the patient I just saw have been billed as a 99204 instead of 99203?

Would the testing I usually use for a 92014 survive an audit?

Was dilation required for the procedure code I just used?

Does the history I just documented on my last patient qualify for a higher level code than the one I used? 

How often do I do that and how much money have I lost doing so?

How Does It Work?

  • Choose 10 medical charts at random.

  • Gather your fee schedule and the fee schedules from the insurance plans you accept.

  • Black out the patient's and insurance company name and other PHI like social security numbers.

  • Digitally upload all 10 charts to us.

What Do We Do?

Audit the charts for proper billing and coding compliance.

  • Assess the documentation of your medical office visits

  • Grade the 99-services (Medical Decision Making or Time)

  • Grade the 92-services (History, Examination, and Diagnosis & Treatment)

  • Provide an appropriate billing code that is supported by the documentation

  • Suggest missed revenue, fee analysis and opportunities to grow medical from routine

Follow Up

Once the audits and recommendations are made, we will:

  • Email Stunning Reports

    These are used to facilitate a deeper understanding of any lost revenue or overcoding.

  • Provide A Fee Analysis

    We will analyze your fees against your current contractual fees and create an updated fee structure for you to consider.

  • Schedule a Zoom Meeting

    In order to solidify a plan of action, we will schedule a 1 hour remote consultation on our findings.

Pricing

How Do You Compare To Your Peers?

Are you at risk for an audit because of your bell curve distribution?

How Do You Compare To Your Peers?

Overcode/Undercode Evaluation

How often are you choosing the incorrect codes?

Overcode/Undercode Evaluation

Revenue Opportunity Calculation

Is there revenue you are missing?

Revenue Opportunity Calculation

Frequently Asked Questions

  • What is the purpose of an EyeCode Audit?

    Ensures the doctor is submitting appropriately coded claims according to CPT codes, guidelines and conventions, and payer payment policies. We measure compliance & assess how well a practice is following federal & private insurance guidelines.

  • How often should the EyeCode Audit be performed?

    The federal Office of Inspector General and AMA recommends that practice audits be conducted at least annually, and that they be used to identify risk areas such as coding and billing, reasonable and necessary services and documentation requirements.

  • What are the benefits of an EyeCode Audit?

    Improved cash flow through timely, appropriate payment and fewer denials. Less risk of penalties from outside auditors through detection of incorrect billing patterns.

Money Back Guarentee

If you are not 100% satisfied with the work we do, we will provide you with a full refund.