C Consulting, Llc

With the development and initiation of Medicare's Targeted Probe and Education (TPE) program, Comprehensive Error Rate Testing (CERT) and prepayment reviews, as well as increased scrutiny by several regulatory bodies [e.g, Office of Inspector General (OIG)], both Healthcare Facilities (Hospitals) and Providers (Physicians / NPPs / QHPs) have been forced to implement action plans for verifying compliance with Medicare documentation and billing rules. In addition, the recent audits of the HBOT indication (Diabetic Wounds of the Lower Extremity) by Noridian (the Medicare SMRC) make medical record reviews even more critical! Many organizations that desire or attempt to conduct internal audits often struggle with having sufficient resources to meet the ongoing auditing burden - and even if they do have their own internal audit team, the likelihood is they may have priorities in other areas. C+ Consulting is pleased to offer auditing services with a focus on compliance with those key areas and requirements identified by the CMS and OIG.