Provider Services

Value Care Documentation Services Vs. Volume Care Payments

Medicare and payer payments to providers are driven by the value providers add to patient care and not by the volume of patients they encounter.

Clinical Documentation Improvement (CDI) Services

Clinical notes/charts made by providers drive the medical coding process. Our highly trained staff review the documentation to substantiate the medical necessity for procedures to seek legitimate payment. This review enhances reimbursement from the payers as well as avoids recoupments, penalties, and sanctions by Recovery Audit Contractor (RAC)/ Zone Program Integrity Contractor (ZPIC).

We supply the following services to help providers remain compliant

Star ratings and quality data submission mandates such as: Physician Quality Reporting System (PQRS), Meaningful Use (MU) - Electronic Health Records (EHR) Stage-II, Value Based Modifier, and Medicare Access and CHIP Reauthorization Act (MACRA) - Merit-Based Incentive Payment System (MIPS). These offerings are the new standards for providers to remain compliant in the industry. We help providers navigate these crucial areas to assure compliance and timely payment.

Leveraging Expertise, Advanced Technology, and Scalable Solutions

Augustus Healthcare Solutions understands that Revenue Cycle Management (RCM) in medical billing is a critical process that healthcare organizations use to manage the financial aspects of patient care.