Compliance Reviews & Education

Highly trained medical record documentation and payer audit consultants.

Compliance Reviews

Noremac consultants are highly trained in the medical record documentation and payer audit processes. Noremac offers a myriad of services to assist providers with the identification of documentation weaknesses or audit vulnerability including specific specialty trends and national occurrence error data. Medical record reviews are also used, as a baseline to identify education needs in billing and coding and documentation guidelines.

  • On-site coding and review of medical records and billing documentation
  • Development of billing tools specified to practice reporting guidelines (2021/2023)
  • Comprehensive feedback and assessment of coding practices
  • Creation of an education plan for the implementation of documentation improvements and code selection
  • Complete Training in the 2021 or 2023 E/M Guidelines that are designed to assist providers with documentation and selection of appropriate Level of Service for all Evaluation and Management Codes
  • Comprehensive training in Medical Necessity
  • CCI edits and unbundling education
  • CPT, ICD-10 CM, & HCPCS Documentation Review
Noremac Reimbursement Solutions, compliance reviews

Clinical Documentation Improvement (CDI)

Correct documentation and coding is an essential element for any practice. As government regulations are constantly changing, it is imperative that your practice conducts regularly scheduled coding evaluations to ascertain your level of risk, and more importantly, identify opportunities for lost revenue due to lacking documentation for services that were performed, but not captured correctly within the medical record.

Noremac will work with your group and determine an evaluation and/or documentation training program that works best for your practice. Typically, we recommend an initial evaluation be conducted to identify potential areas of opportunity, and subsequently provide documentation training that will be specifically tailored for your practice’s needs.

Noremac conducts both Evaluation and Management and Surgical Note Evaluations. These services are typically performed off-site. Final results of evaluations are submitted to you via an executive summary report, with results specific to each provider in the practice. A practice meeting with then be scheduled to discuss the findings and identify potential educational needs.

Noremac Reimbursement Solutions, reimbursement analysis

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