Team Training & Education
Medical Coding & Documentation Training
Proper medical billing and coding is critically important to the health of all healthcare organizations. Get customized training from certified coders and auditors who keep pace with ever-changing healthcare regulations.
15+
Years Experience
100%
U.S. Based Team
CPC®
CPMA® Certified
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Tell us about your team's training needs
CPC® & CPMA® Certified Trainers
Remote or On-Site Training
NAMAS Education Division
On-Demand Recording Available
The Value of Training
Keep Up With Changing Regulations
With so many companies claiming the accuracy and productivity of their coding, it's difficult to distinguish those that can keep pace with the ever-changing healthcare regulations. These trending changes are foundational to excellence in coding and documentation.
Our team of Certified Coders and Auditors receive standardization and ongoing support from the National Association of Medical Auditing Specialists (NAMAS), a nationally recognized educational organization and a division of DoctorsManagement. As a result, our coding, auditing, and training experts are some of the most recognized in the industry.
Many organizations are concerned about the documentation and coding trends of their providers. Oftentimes, the obstacle to performing an internal review is the expense involved. However, this should be seen as an investment or an insurance policy for your organization.
Our Training Approach
ROI Focused
Training that pays for itself
Training Benefits
What Value Can Training & Audit Reviews Provide?
Comprehensive training addresses documentation, coding, and compliance concerns while identifying opportunities for improvement.
Address Under-Documentation
"Over-coded" is a buzzworthy term in compliance, but typically the medical necessity supports the level of service, however, the audited complexity is under-documented. Our team works with providers on ways to efficiently and effectively communicate this through documentation.
Eliminate Under-Billing
Many providers are unsure of what level to choose, reasoning it may be better to level down in their code selection. Using their own coding patterns and national trends per specialty, we teach them to choose codes more specifically. Providers are tasked with CORRECT coding.
Maximize Service Utilization
If an audit sample is comprehensive in nature, it will sample all service lines of a provider. While evaluating these service lines it opens the door for consideration of services that may have been underutilized, identifying new revenue opportunities.
Identify Compliance Concerns
The goal of an audit is absolutely to find risk. Be comfortable knowing that is our job. Our team works hard to point out both deficiencies and proficiencies. At the end of the day, it is a mock carrier audit designed to protect your organization.
Types of Audits
Types of Medical Billing Audits We Perform
DoctorsManagement offers comprehensive medical billing audit services tailored to your organization's specific needs and objectives.
Internal Medical Billing Audit
Proactive internal reviews conducted by our team to identify coding errors, compliance gaps, and revenue optimization opportunities before external auditors do.
External Medical Billing Audit
Independent third-party review simulating actual carrier audits to provide unbiased assessment of your coding accuracy and compliance status.
Prospective Audit
Pre-billing reviews that catch coding errors before claims are submitted, preventing denials and reducing compliance risk from the start.
Retrospective Audit
Post-billing analysis of previously submitted claims to identify patterns, trends, and systematic issues affecting revenue and compliance.
Our Approach
What Sets Our Training Apart
When other organizations are making similar claims, how can you know our services are different? Our process and training style set us apart.
Customized Sessions
Each training project begins with a launch call to define objectives, topics, and goals. This turns ordinary training into a value-based educational session covering exactly what your team needs.
Applied Training
Interactive and applied learning produces the best results. A sample of your documentation will be requested, redacted, and infused into training, EMR-specific and specialty-specific to your team.
Record for On-Demand
Retaining a training event allows the investment to continue paying for itself. Individuals unable to attend live or onboarding new team members can access the recording with content updates.
Proficiency Testing
Signing an acknowledgment of training creates a contractual agreement for compliance. We provide attestation certification and a proficiency quiz to gauge training outcomes.
How It Works
How Internal Audit & Training Works
Coding and documentation audits can be performed remotely or on-site at your medical office, with real-time analytics to help you make adjustments quickly and efficiently.
1
Random Selection Review
Your DoctorsManagement auditor will review a random selection of patient encounters to identify trends in your coding practices.
2
Provider Discussion
Audit findings with specific results are discussed and reviewed with each healthcare provider, with guidance on best practices.
3
Staff Education
Educational sessions with each key staff member, biller, and medical coding specialist provide hands-on training and feedback.
4
Comprehensive Evaluation
Evaluation of fee schedule, modifier usage, CPT/ICD-10/HCPCS coding, EOB denial trends, and productivity levels for Bell Curve analysis.
Why It Matters
Importance of Proper Documentation and Coding
Documentation impacts patient care as well as payment outcomes. When coupled with the coding assigned, documentation carries significant weight for each patient's medical records.
Keeps Patient Records Accurate
Continuity of good patient care is the primary purpose of documentation. Misrepresentation of the patient via note bloat or lack of documentation could negatively impact a patient's well-being.
Bridge Providers and Insurance
Medical coding is the translator of care between a provider and patient's insurance. Correct coding ensures accurate medical history chronicled to the payer and correct reimbursement for services.
Bridge the Care Understanding Gap
Proper documentation helps providers translate what was done during a visit and why, bridging the gap between medical care and patient understanding. This empowers doctors to communicate care outcomes more effectively and ensures patients have a clear picture of their treatment.
Training Coverage
Comprehensive Training Coverage
We evaluate all aspects of your practice's coding and documentation, providing education tailored to your specific needs and specialties.
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Fee Schedule Evaluation Review and optimize your practice's fee schedule for maximum appropriate reimbursement
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Modifier Usage Training Proper application of modifiers to ensure accurate claim submission
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CPT, ICD-10 & HCPCS Coding Comprehensive training on proper code utilization across all code sets
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EOB Denial Analysis Understanding and addressing explanation of benefits denial trends
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Productivity Bell Curve Analysis Evaluate provider productivity levels against specialty benchmarks
Provider Training
- Physician Documentation Training
- Specialty-Specific Coding Education
- Chart Audit Reviews
- E/M Level Selection
Staff Training
- Biller & Coder Education
- Revenue Cycle Best Practices
- Denial Management
- Compliance Requirements
Why DoctorsManagement
Why Providers Trust Us
DoctorsManagement has a passion for healthcare, focusing everything we do on advancing a practice to meet its full potential. Throughout our various services, we are consistent with excellence.
Quality of Coders & Auditors
Our U.S.-based team receives ongoing training from NAMAS. All senior members possess over 15 years of experience and hold CPC® and CPMA® credentials.
Full-Service Synergy
The many departments within our firm work together to help clients. You receive quality solutions from a team current on every aspect of the business of medicine.
NAMAS Education Division
Our education division, the National Association of Medical Auditing Specialists (NAMAS), is a nationally recognized educational organization.
Shannon DeConda
CPC, CPMA, COC
Scott Kraft
CPC, CPMA
Sean Weiss
CHC, CPMA, CPC
Cathy Garguilo
CPC, CPMA
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Ready to improve your team's coding accuracy and compliance? Contact us to discuss your training needs and receive a customized proposal.
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