Our Consulting Services

Target Coding's consulting program is very educational, enlightening and most importantly, financially rewarding. Dr. Marty Kotlar and his team of certified coding professionals will handle all areas that relate to the insurance coding, billing compliance, documentation and reimbursement aspect of your practice.

Our coding and compliance program includes the following:

New Patient Procedures

• New patient phone call insurance procedures
• The new patient intake form and new patient sample phone script
• Solidifying initial financial arrangements
• Strategies for billing and coding for exams, re-exams and consultations
• Sample patient financial office policies provided

Insurance Verification

• Collecting the essential insurance information
• Completing the insurance verification form
• Sample insurance verification phone scripts
• Verifying the 4 essential categories
• Insurance tracking and 30-60-90 day collections system
• Verifying in-network vs. out-of-network benefits
• How to request authorization for payment beyond the plan limits
• E/M and physical therapy services as a separate benefit

The Codes

• Evaluation & Management (E/M) coding guidelines
• New patient examination codes
• Consultation codes
• Counseling/Coordination of care
• Prolonged visits and review of records codes
• Established patient reexamination codes
• Team conference codes
• Documentation examples of established patient codes
• Chiropractic and all physical medicine and rehab codes explained in detail
• Muscle/Massage therapy codes

CPT/ICD-9 Code "Linking" and Diagnosis "Pointing"

• CPT and ICD-9 code combining with clinical rationale and documentation
• Linking & Pointing Low Back and Low back conditions with lower extremity involvement
• Linking & Pointing Cervical conditions and Cervical conditions with upper extremity involvement
• Linking and Pointing Thoracic conditions and Medicare conditions

Fees & Financial Agreements

• Fee profiles and ranges
• Sample patient financial policies provided
• Sample increased fees letter to patients
• Hardship forms and Time of service (TOS) fees explained with sample TOS receipts
• Outlining care plans that make sense and are easy follow
• The compliant way to discount your fees from your standard fees

Documentation, Patient Flow, Care Plans

• How to Document & Prove Medical Necessity in your SOAP notes
• Sample written treatment plans
• Sample SOAP notes and routing slips provided
• Chart note documentation recommendations
• Sample Medicare SOAP notes provided
• Transition from phase 1 of care to phase 2
• How to document and incorporate all physical medicine & rehabilitation codes

Letters of Necessity

• Manual therapy techniques bundling letter
• Letter of medical necessity for chiropractic care
• Sample UCR letters
• Sample appeal letters
• Sample comprehensive narrative report
• Sample thank you letter to MDs, DOs, DCs and PTs

Staff Items

• Written staff policies
• Weekly tasks and goal setting
• The importance of regular staff meetings
• Insurance topics to discuss at every staff meeting

Also Included

• Our Reimbursement Training Manual (260 pages)
• A written "report-of-findings" with a step-by-step action plan specific to your practice
• A CD with Target Coding's Scripts, Forms, Letters and Report Templates
• A Comprehensive Analysis of your CPT/ICD-9 codes, Fee Schedules, EOBs and Documentation
• Monthly Coding and Compliance Updates
• Access to all of our Seminars and WEBINARS (on-line seminars)
• Plus Six Months of Unlimited Coding & Billing Support
• A Full Day of Training At Your Office is Available Upon Request

For the cost of our program, please call 1-800-270-7044 or email us to receive our Consulting Services Program Agreement and monthly fee for your review.