• Ideal for new facilities not yet ready to hire a full time coder as well as established ASCs in need of additional assistance, or full coding support.
• Temporary and long-term coding assistance is available.
• Your facility will be assigned a certified coder who is an expert in ASC coding, with experience in your facility's case mix.
• No minimum monthly volume requirements.
• Tiered pricing is available pending specialty.

Accurate and inaccurate coding practices have a direct impact on revenue, so it's essential to establish a coding audit program. Coding audits may identify any areas of deficiency that can directly affect your profitability.

Regular coding audits are highly recommended to ensure your coding staff has a working knowledge of current coding guidelines. CCM will recommend an ideal audit frequency (monthly, quarterly, semi-annually, annually) based upon results from an initial baseline audit.

• Identify areas of coding deficiency.
• Provide detailed audit and summary reports.
• Explain variances and provide recommendations based on credible documentation.
• Serve as an educational tool for your coders.
• Meet or exceed your compliance objectives, as well as OIG requirements.
• Post-audit calls are available.

CCM has flexible pricing based on the frequency of the audit (monthly, quarterly, semi-annually, annually) and the number of charts reviewed.

A facility may occasionally require assistance from professionals in the healthcare industry to review its revenue cycle and ensure specific processes are in place within the business office for optimum functionality. Coding Compliance Management, LLC will assess current business processes and business staff competencies and provide recommendations to facility management for improving efficiency and productivity. Some areas of focus include but are not limited to the following:

• HIPAA Compliance
• Billing/posting competencies
• Collection productivity/Claim denials
• Verification, authorization and precertification
• Patient accounting systems (PAS)
• Benchmark comparisons
• Staffing competencies and levels
• Insurance Contract Reviews
• Policy & Procedure Reviews
• Documentation competencies and physician education if/when warranted
• Medical Records

• Accreditation, licensing and regulatory compliance
• Clinical assessment
• Quality and performance
• Improvement assessment
• Materials management assessment
• Infection control assessments
• Safety and risk management evaluation
• Human resources and credentialing assessment
• Staffing Efficiencies
• Policy and Procedure Reviews

• HIPAA Compliance Reviews
• Staffing Competencies as it relates to HIPAA Privacy Rules
• ASC HIPAA Policy & Procedure Reviews
• Remote HIPAA Annual Training

Ascertain coding strengths and weaknesses using our standard or custom-designed ASC coding exams. Our detailed results report will provide management with information required to make employment and staffing decisions based on current facility case mix. The reports will:

• Highlight areas of coding excellence.
• Pin-point areas that require improvement.
• Identify training solutions to increase coding compliance

ASC Finance, Accounting & Reimbursement Fall Seminar
Sept 15-16, 2022

The ASC Industry’s only dedicated Finance, Accounting and Reimbursement Seminar continues its third year in September 2022! Presented by Coding Compliance Management and the ASC Podcast with John Goehle, with industry leaders Cristina Bentin and John Goehle.

ASC Administrators, Nurse Managers and Business Office Managers face unique challenges in managing the financial aspects of an ASC and understanding the crucial role coding experts play. Our experts will discuss various aspects of Finance, Accounting and Reimbursement in the ASC setting. It is ideal for anyone interested in understanding basic finance principles as well as those that know finance but want to learn how it differs in the ASC setting. The program is also designed to assist those that are seeking CASC Certification to understand the finance section of the exam.

Our experts will also review the ASC reimbursement model to include an overview of fraud and abuse prevention, coding, documentation, outsourcing, and compliance audits in the ASC setting as well as the impact coding accuracy has on your organization’s financial health.

Continuing Education

This program is pending approval for up to 15.0 hours of AEUs by BASC Provider #2618. This is for CASC Certified Administrators.

AAPC CEUs are pending for up to 15 CEUs for coding, auditing/compliance, billing and/or certified physician practice manager professionals pending need for Core A, Core B, and/or specialty CEU requirements