REVIEWS & AUDITS

Reduce Compliance Risk in Your Organization

Mandated reviews and unforeseen audits, once uncommon, now seem to be business as usual. They are also a hazard for the unprepared organization. Reduce the risk with regulatory compliance support from the experts at Anderson & Lohr.

Our array of review and audit services will help your organization optimize its readiness and maintain compliance while maximizing revenue. Our highly experienced staff will work with you to identify the strengths and weaknesses of documentation, coding, billing and reimbursement procedures which cause risk; pinpoint red flags; and map areas for performance improvement. The resulting action plan will outline steps to staff education and process changes to meet compliance requirements. Our team will also assist you to prepare for or respond to outside reviews, including CMS audits.

A&L’s auditors are certified and/or credentialed through AHIMA, AAPC and AMBA (CCS-P, COC, CCP¹) and bring extensive experience in medical review and audit protocols to your organization.

Review and audit services include:

• Medicare/Medicaid
  • Recovery audits
  • Certified Error Rate Testing
  • Probe
  • Medicaid Integrity Program
  • Payment error rate measurement
• HIPAA risk analysis
• ICD 10 CM coding
• Billing
• Reimbursement
• Medical coding compliance

Services are customized to fit your organization and its requirements, and are fully integrated with your revenue cycle performance improvement processes.

Feel confident that your organization is compliant and ready for an audit. Contact us for a compliance check up.