We are excited to invite you to participate in an appeals program specifically designed for Orthopaedic Surgeons. This program is administered by our expert Appeals Department staffed by our in-house Certified Professional Coders. We audit your surgical claims that have already been paid to find under-coded and under-paid claims. A recently completed audit recovered $125,000(and climbing) for a Los Angeles surgeon. This $125,000 is “lost” income that would have remained un-realized by his practice.
We would like to complete a Coding & Payment Review (CPR) of your paid claims. We will review solely what has been adjusted off as “paid in full”. If we determine that you have been underpaid, for any reason, we will appeal the claim on your behalf. The claim will then be re-evaluated by the carrier to determine if in fact you should have been paid more. If the carrier agrees with us, they will re-process the appeal resulting in addition payments for you.
If we find nothing to appeal, we will give your practice a clean bill of health and you’ll pay us nothing. At the outset, you will know that your billing and coding is being done accurately. This is a great way to make sure your practice is billing to maximize your income!
Our ortho specific Certified Professional Coders and professional billing staff will likely go through hundreds of claims to generate maybe as few as 10 successful appeals. We are paid on only the successful appeals so you will not pay us anything until we generate additional revenue for your practice. When we successfully appeal your old claims and capture lost revenue for you, we will invoice you a percentage of each paid appeal. It really is that simple!
CPR is 100% HIPAA compliant. There are no long term commitments. There are no up-front costs or hidden fees. We take your paid claims that have already adjusted off as “paid in full” , review them, appeal them, and get your practice compensated.
3 easy steps to get CPR started:
1.) Complete our simple agreement
and fax it back to us at 714-385-1723.
2.) We will fax you a business associate agreement for HIPAA compliance.
3.) We will contact you or your appointed staff to get the documents we require to start CPR on your practice.