Coding and Documentation Review

Correct coding can help you avoid delayed and incorrect reimbursement.  Learn to track your coding patterns and reduce the risk of an audit due to over-coding, or lost revenue due to under-coding. 

The Coding and Documentation Review is an in-depth review of medical record documentation and claims coding that identifies deficiencies and areas of risk. This review will help streamline coding and documentation processes and decrease the risk of external audits.

Our certified professional coders and auditors will review your coding and medical record documentation to determine whether your practice is following payers’ guidelines for appropriate billing. 

The analysis will include evaluation of CPT and ICD-10 coding and related documentation, and review billing documents such as encounter forms, claims, and the corresponding explanations of benefits. Ten patient records (per provider) representing a mix of payers will be reviewed. Recommendations to correct any problems will be included in a written report within 30 days.

TMA Practice Consulting is now offering up to 20 AMA PRA Category 1 Credits™, per physician, when a Coding and Documentation Review is performed for their practice. Find out more about the Coding and Documentation Improvement Plan. 

CLICK HERE to submit an online Request for Proposal for your practice.

If you have any questions, contact TMA Practice Consulting at (800) 523-8776 or e-mail TMA Practice Consulting

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Client Testimonials: 

"When I am in need of information or have questions, I know I can always count on them to respond quickly feeling certain I have received the information I need to proceed. We recently had a Documentation and Coding Review with Practice Management Consultant, Heather Bettridge. She was so knowledgeable and professional. I enjoyed the opportunity to work with her. I can honestly say I have never had a negative experience at any time with anyone at TMA.  The services provided by TMA Practice Management Consultants are invaluable to our medical practice. I often recommend TMA Practice Management Consultants to other physician offices and colleagues and will definitely continue to in the future.”

Connie Bryan
 Practice Manager
 Joseph Hong, M.D., P.A. 


“TMA does a great job of helping physicians ensure their documentation appropriately supports the levels of services billed.”

-Julian Rivera
 Health Law, Partner
 Brown McCarroll

Last Updated On

September 15, 2022

Originally Published On

March 23, 2010