Compliance Auditing
MedBest works with each of the Medical Service Groups (MSG) at Upstate Medical University to provide education and training to new and existing medical professionals regarding coding, billing, and compliance. Each MSG has different needs, and the education is individually tailored based on the subspecialty of each Upstate provider. We perform new provider audits to give providers prompt feedback about their coding patterns and identify any areas that need further focus or development.
- Coding and billing reviews: We can review both the billing data and medical records remotely using our EPIC access. This eliminates any disruption to your office workflow as we audit behind the scenes. We use state of the art “Intelicode” audit software.
- Proper documentation reviews: We have extensive expertise in the requirements of Academic Medicine billing, including Teaching Physician and Primary Care exception requirements, EPIC EMR documentation issues, Telehealth requirements, subspecialty taxonomy and more.
- Benchmark analysis of evaluation and management coding patterns: We have access to a national database for Academic Medical Centers that allows us to run CPT utilization reports that compare our providers “apples to apples” to providers in other academic institutions.
- Physician orientation/education on coding and documentation requirements: based on our years of experience we know that different specialties have different needs. We tailor our education to each provider’s subspecialty and level of experience.
- Best practice recommendations to enhance coding opportunities: If we see providers are not billing for services that they could be, we let them know and educate them on required documentation and which codes to use. We educate them on how adding certain information to the note could support a higher level of E/M.
Revenue Cycle Management
Our focus is to optimize the revenue cycle process from complete charge capture through accounts receivable closure.
Compliance Auditing
Our experienced audit staff provide you with the assurance that any coding or documentation opportunities will be identified and addressed.
Staff Leasing
MedBest is a Professional Employer Organization (PEO) partnering with Upstate Medical University.
Enrollment
Our experienced team of credentialing and enrollment specialists have the knowledge and resources available to streamline your enrollment.