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J. Claypool Associates Inc. is a physician practice management and coding consulting firm. We specialize in helping private and hospital based physicians in the areas of coding, compliance, and managed care contracting.
With growing concern of fraud, abuse and the constraints of managed care, you need to seek the help of a healthcare professional who can:
- Help you to comply with current reimbursement laws
- Reduce and eliminate billing problems
- Enhance revenues through accurate coding
- Improve Coding efficiency
- Evaluate your practice for continued growth
- Maximize reimbursement through contract negotiation
Services
Customized Practice Management Consulting
Medical Billing and Documentation Audit
Managed Care Contracting
Workflow and Medical Practice Optimizations
Chart Audits and Coding Reviews
Attorney Support Services
Medical Practice Establishment
Physician Recruitment
Meet Our Consultants
Customized Practice Management Consulting
Jamie Claypool
CMPE, CPC, CPMA
President and Founder
Diane Cook
Senior Practice Management Consultant
Bradley Reiner
BA
Senior Practice Management Consultant
Georgia Parsons
Practice Management Associate
Ronda Hostetter
Senior Practice Management Consulting, Marketing and Analysis
What if a professional documentation review turns up bad news?
There are a number of ways to conduct an educational audit. We recommend the prospective Audit. In the process the review is completed before the charge is submitted so that charges are not submitted with errors or over-coding that can prompt a recoupment effort.
What’s the most important thing to remember in contracting?
Don’t give up! Don’t ever give up! Persistence is the key.
Why do a coding review?
A coding review by a professional team of independent, certified consultants can help physicians and hospitals determine if they have exposure in the situation of a payer documentation audit. Following a review, education is provided to each individual provider based on their own documentation. The educational component will allow providers to avoid poor outcomes and future coding errors as payers request documentation and perform mandated random payer audits.
Another benefit from a documentation review is revenue enhancement, as educational reviews allow providers to find missed opportunities to bill, an ot bill correct codes that may involve higher values.
What are the keys to successful contract negotiation?
Knowing your practice and demonstrating it
Knowing the contracting environment and the leverage you bring to the table
Knowing the payers and developing a relationship for success