Outpatient Advisory
Our team of auditors, clinicians, coders, and compliance professionals draws on years of collective experience to solve complex issues.
BRG outpatient experts provide consulting and auditing services for a variety of coding, documentation, compliance, and billing matters. Our experts have experience in highly complex specialties including radiation oncology, infusion services, wound care, physical and occupational therapy, speech-language pathology, psychiatry, and a variety of surgical specialties, as well as ophthalmology, cardiology, pediatrics, and emergency medicine.
BRG experts advise clients on topics including Hierarchical Condition Coding (HCCs), ICD-10 diagnosis capture, clinical documentation improvement, home health services, and durable medical equipment (DME). Our professionals excel at advising physicians and hospitals in analysis of data and developing creative solutions and professional training programs. They have expertise in technical coding, auditing, billing, and application of compliance guidelines.
BRG can provide clients with Independent Review Organization (IRO) services, forensic data analysis, litigation support, and expert witness testimony. BRG can implement and assess internal compliance programs and HIPAA compliance.
BRG clients appreciate our experts’ ability to listen, question, and develop unique solutions. We do this by working with hospital leadership, physicians, administrators, and clinical staff. As more services are provided in the outpatient setting, our team of auditors, clinicians, coders, and compliance professionals draws on years of collective experience to solve complex issues and maintain a cutting-edge understanding of the changes and challenges facing our industry.
Services include:
- Medicare Risk Adjustment (Hierarchical Condition Coding) Assessment
- Outpatient Clinical Documentation Improvement
- ICD-10 Coding/Auditing Support
- Physician Education
- Multi-specialty Professional Fee Auditing
- Evaluation and Management
- Independent Review Organization Services
- Internal Compliance Audit Support
- Risk Assessment
- Annual Work Plan Development
- Compliance Program Assessment
- Compliance Program Effectiveness
