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Medical Claims Audits

In today’s dynamic health care environment, it’s important to understand your strengths and fortify your weaknesses. Accurate medical coding, billing and reimbursements are crucial to staying in compliance and protecting your revenue and your medical practice from potential penalization.

To ensure that you stay in compliance with the latest standards, MCM’s knowledgeable in-house medical coding specialists can sample, then review, your patient records or accounts receivable and identify areas for improvement. Our Healthcare Services Team is comprised of CPA’s, Certified Coding Specialists (CCS-P & CPC), IT professionals and an AHIMA approved ICD-10 trainer. If you are an attorney, we are also prepared to provide litigation support for a coding or documentation audit.

Our medical claims audit services can encompass the following:

  • Reimbursement audits
  • Inpatient, outpatient & pro fees facilities
  • Dental claims
  • Rx & pharmacy benefit
  • Behavioral health plan audits
  • Litigation support
  • Coding education
  • ICD10-CM AHIMA approved training

Let us help you solve and/or avoid any discrepancies. For more information, contact Cris Miller, CMPE, CCS-P, CHC at 502.882.4341.

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Personnel Profiling joins MCM

Effective July 1, 2014, Personnel Profiling, Inc. has joined the team at Mountjoy Chilton Medley, Kentucky’s largest CPA & advisory firm. With MCM, we’ll continue to offer the same top notch HR assessments, services and tools, now coupled with a greater breadth of in-demand expertise and services. You can now find the PPI main office and staff at MCM’s downtown Louisville headquarters.

Read About The Merger Continue to MCM's Website