The impact CPT, ICD-9, and HCPCS coding and billing has on your organization's financial performance is tremendous.  Prudent health care organizations use coding information to:

• Accurately bill and maximize reimbursement for their services
• Monitor clinical and business patterns
• Negotiate third-party payer contracts   
• Support their physician compensation program

If coding is not performed correctly, data will be faulty, poor business decisions may result, and overall revenue will not reflect services provided.  Not only does problematic coding have a revenue impact, inefficient billing processes increase costs directly (e.g., inefficient use of staff, re-submission of services to payers, high accounts receivable) and indirectly (e.g., staff morale and turnover; increased management focus).

Wipfli assists health care organizations ensure their coding is accurate and that revenue and compliance processes are efficient and effective.  We have experienced advisors  in the following areas:

• Revenue Cycle Management
• Accounts Receivable outcomes improvement
• Case mix management
• Charge master development
• Medical record documentation and ICD/CPT coding
• DRG and APC reimbursement
• Billing compliance
• Performance improvement
• Managed care contract evaluation
• Health information systems management
• Utilization management