Compliance and Auditing

Our business review and audit services can help you reduce your risks by identifying and correcting deficiencies. Complicated billing regulations, confusing coding rules, complex Medicare policies, fear-driven down coding. may all result in lost reimbursement, impacting your bottom line.  

Coding and billing requirements are complex and keeping up with regulatory changes can be overwhelming.  An effective compliance program helps an organization spot errors in its processes, preventing small problems from becoming large ones. We provide high-value solutions while maintaining affordability to our clients. 


Chart Auditing

Cornerstone staff will use the CMS Documentation Guidelines, and AMA CPT coding rules to determine the correct CPT code and modifier based on the physician's notes.  A detailed report and assessment will be submittedoutlining recommendations and action items.

HIPAA Privacy and Security Audit 

With the implementation of the HITECH Act, the Affordable Care Act and upcoming audits, HIPAA compliance has assumed greater importance.  The most recent changes have expanded and modified the regulations and included a mandate for the Department of Health and Human Services to audit providers for compliance. 

The Baseline Audit

Your office will receive an confidential, on-site, comprehensive compliance review of your office.  The baseline audit provides an objective approach to determining if problems exist and provides a framework for developing a remedy for concerns.

The Comprehensive Compliance Plan

Cornerstone Medical Management will develop and assist implementing a comprehensive compliance plan that is tailored to meet the unique needs of your practice. As part of this plan, we can provide ongoing regulatory updates and recommend repeat chart reviews in order to achieve optimal risk management. 

 The process of a compliance audit is simple and easy to arrange - think of it as a wellness visit for your office!


Top of Page

Consulting and Training

Cornerstone Medical Management offers on-site consulting services. Whatever your needs are, from billing policies, coding review, and office process review, our experienced staff can help you resolve your issues.

Cornerstone also hosts web-based and live training seminars on the hottest Billing, Documentation and Compliance-based topics.  Our one-hour Lunch-and-Learn series offers web-based training on relevant topics at an affordable price.   

Click here for a schedule of upcoming events.



Will you be ready? 

Documenting for ICD-10 is demanding.  Is your organization properly positioned to meet the ICD-10 deadline?  Compliance with ICD-10 will be critical to the continued success of all healthcare organizations beginning October 1, 2015. 

Cornerstone is dedicated to helping physicians protect their bottom line during this transition.

Identify where ICD-10 will impact you the most.  Check out our new Documentation Readiness Assessment service and see how we can help you prepare.

Top of Page

Medicare and Medicaid Audit Review

Concerned about your Medicare / Medicaid billing?  The OIG is auditing providers and has recovered billions of dollars from providers for claims paid in error.  Our audit team will review your clinical records, your existing OIG Compliance Plan, and identify any deficiencies that increases your risk.  Our review's provide expert assistance in correcting any errors discovered.

This confidential service is provided directly or through health care counsel if you have been notified of an impending audit.

Top of Page

Medical Billing Services

The service we provide allows your organization to focus on in-house patient care while our qualified staff constantly monitors the billing and payment follow-up. Outsourcing helps assure consistent billing and coding service.

  • Practice management software provides you with full access to your patient information.  Always.
  • Dedicated account staff.  Your account manager and billing specialists are committed to helping you obtain the best reimbursement possible - in a timely manner.
  • Dependable follow-up.  We handle 100% of the follow-up activity and provide you with a monthly report of all aged, unpaid claims with the reason they are open and an expectation of when they will be resolved.
  • Consistent cash flow.  Outsourcing means your cash flow isn’t impacted by employee turnover, vacations, or sick leave. From submission to appeals, let our experts handle the details.
  • Proven Results.  Our dedicated staff and efficient processes will improve your cash flow!

Top of Page