medical record audit

For more than a decade, Advize Health has taken a proactive approach to help physicians improve the overall quality of claims and to ensure consistency in their billing. Our easy solution for medical record reviewing has helped more than 10,000 physicians reduce documentation deficiencies and implement effective coding according to established CMS and AMA standards and guidelines. The physician medical record review results appear in easy-to-read audit trails and may be reviewed with the Advize Health team at any time.

Our experienced medical coding professionals help healthcare providers keep pace with the continuous medical coding and reimbursement methodology changes.

Documentation and Coding Audit

Comprehensive review of your billing, coding, and documentation to help identify potential issues with compliance as well as revenue.

Special Investigations

Have you already been audited, but are questioning the results? Our experts can help substantiate or refute those Benefits include reductions in overpayment requests as a well as a more accurate coding and billing going forward through our educational tools.

Risk Adjustment Audits

Validate the accuracy of diagnosis coding related to Hierarchical Condition Category (HCC)categories to determine whether compliance with Centers for Medicare & Medicaid Service (CMS) is met.

Outpatient CDI & ICD-10 Clinical Documentation

Our outpatient Clinical Documentation Improvement (CDI)program will help your organization take advantage of missed opportunities and identify areas for improvement.

Underpayment Recovery

Identify underpaid claims and erroneous rejections.

Many healthcare organizations have hired Advize Health to drive coding accuracy and superior training in the following areas:

  • Family Practice
  • Nephrology, Endocrinology, Neurology
  • Ophthalmology
  • Radiology, Oncology, Orthopedic, Cardiology
  • Critical Care, Interventional Cardiology
  • Plastic Surgery, Pulmonology
  • Obstetrics, Gynecology
  • Emergency, Hospitalists
  • General Surgery, Internal Medicine
  • Dermatology