Appeals & Consultation

BCMS has been providing practice operations and compliance consultation since 1985. We specialize in compliance auditing and consultation for outpatient therapy providers focused on coding, billing, documentation, HIPAA and corporate compliance.

Consultation services include, but are not limited to, the following:

  • Medicare Coding & Billing Methodology
  • Medicare Documentation
  • Medicare Enrollment Processes, Timelines & Requirements
  • Medicare Conditions of Coverage
  • Medicare Mandatory Claims Submission
  • Medicare Opting Out & Participation/Non-Participation
  • Coding with Modifiers (PTP, FLR, etc.)
  • Off-Site Billing, Coding & Documentation Audits
  • Internal Audits
  • Payer Policy & Cash Based Practices
  • Medicare Audits
  • Medicare Denials & Appeals
  • AMA Unit Counting & Payment Methodology
  • AMA’s CPT Coding Based on CPT Code Definition & Purpose
  • Payer Voluntary Refunds (Medicare & Commercial)
  • Practice Act Rules, Regulations & Issues
  • HIPAA Breach Management
  • OSHA Regulations for Outpatient Therapy Services
  • Human Resources