Professional Management Midwest, Inc. - Coding & Reimbursement

Coding and Reimbursement

PMM has experts to assist healthcare providers with health record systems, clinical data management documentation requirements, ICD-CM, CPT coding instruction, and reimbursement advice. Our health information management consultants are available to visit your office and provide individualized services to meet your information management needs.

PMM will examine the entire information capture and reporting process and identify opportunities for improving data management. Our consultants have proven methods that save valuable time and resources currently required for data processing in the current healthcare system.

We review the CPT-4 and ICD9-CM coding in health record for accuracy and appropriateness, report findings, and provide education for physicians and /or staff in coding methodologies that support optimal reimbursement and generate accurate data profiles.

Health Information Management Services:

Educational Seminars in ICD-9 and CPT-4 principles to sharpen coding skills.

Consultation in coding and reimbursement methods to eliminate third-party payment frustrations by utilizing coding and billing systems correctly.

Fee assessment and analysis will keep you up-to-date with the market. PMM utilizes market surveys and industry standard relative value study resources that provide current, accurate information for creating practice fee schedules.

Health record management services help create efficient, economical solutions for managing important clinical data. PMM provides experts in the automation of billing, computerization of health records and practice management systems that can assist you in selection of an information system that meets your special needs.

Document analysis reduces the change of an adverse outcome from a third-party payer audit by identifying deficiencies and provides practical techniques for improving document quality.

Chart Audits are available on an outsourcing basis. A coding specialist will provide ongoing support by conducting medical record reviews. Coding and billing personnel are available so that cash flow is never interrupted by backlogs, job vacancies or staff vacations.