At Rely On Us, we strongly believe in meeting up to or exceeding the legal, ethical and professional healthcare standards. When it comes to certain healthcare laws and regulations, federal or state, they are changing at regular intervals and interpretation of these laws and regulations also change frequently. Thus, healthcare compliance should be an ongoing process with the reviews and updates of the processes, policies and procedures of the organization happening at a regular time.
When it comes to the patient's health, the providers work really hard to provide the utmost care and the insurances whether commercial or government, lower the amount of money, willing to pay for procedures. In an attempt to lower costs and variability, Medicare is expanding its bundled payments program to cover a large range of procedures. Margin forecasting becomes even harder due to the new laws and regulations.
We at Rely On Us, when it comes to compliance, strive to improve the quality of care while reducing the cost of the healthcare which in turn improves the performances of the practice.
At Rely On Us, we help submit claims that are compliant with the industry standards. Our experts support the implementation of compliance program which comprises of prospective and retrospective audits for coding and billing services. This ensures that there is assurance of >95% accurate claims
At Rely On Us, we believe PREVENTION IS ALWAYS BETTER THAN CURE. There are a lot of complications, when the insurance auditors are not able to find and understand the information they need in your documentation, or when the documentation doesn't match up with actual practices. The consequences could range from headaches of longer, costlier audit processes to major catastrophes like exorbitant denials, over utilisation reports or even litigation. We support our providers for documentation compliance by providing continuous inputs in the areas of improvement while documenting a service. Documentation audits and feedbacks for Surgery, Evaluation & Management and In-patient services are provided.