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Compliance

Helping you navigate Medicare coding & compliance.

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Face the future with confidence.

The Billing, Coding, and Compliance division, formerly known as Rose & Associates, was acquired by BSM in 2017 and was originally founded by Ann and Bill Rose in 1980. With a sole concentration on ophthalmology, optometry, and other ophthalmic-related specialties, our expert consultants have over 50 years of experience. 

We continue the Rose & Associates legacy by priding ourselves on having a personal, client-first approach to Medicare and third-party reimbursement compliance by helping practices optimize reimbursement and reduce regulatory risk in both the outpatient clinic and ambulatory surgery center (ASC) environments. Our expert consultants offer reliable guidance, superior training, targeted education, and day-to-day compliance support. 

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Audits

Several different types of audits are available to assess compliance and provide guidance on the ever-changing rules and regulations ophthalmic practices and ASCs are required to follow. From reviewing a sampling of charts to evaluating proper documentation, our team will ensure your billing practices are up to par.  DISCOVER

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Training for Your physicians and Staff

Our team is passionate about training and can provide tailored webinars or onsite training sessions to meet the needs of your providers and your entire staff. Keeping your staff well-trained and informed is an important step to maintaining compliance.                        

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Utilization Review Analysis

A utilization review analysis of your practice compares each provider's CPT code utilization to the CMS utilization patterns to identify areas where CPT utilization may fall above or below the CMS norm. Our analysis looks into new patient vs. established patient visit codes, diagnostic testing codes, and surgical procedures.

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Membership Programs

Access a wide variety of billing, coding, and compliance tools and resources where and when you need them. Our various membership programs offer convenient 24/7 access.

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Customized services

Utilize our expert consultants to research difficult questions, assist with Medicare correspondence, or provide guidance on Medicare reimbursement issues. Services are billed at hourly rates and invoiced monthly.

"Coding and compliance is a challenging area with frequent changes. Working with experts at BSM, like Kirk, we have immediate access to timely information and guidance to better our practice and avoid unwanted scrutiny. "

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Thomas Brown, CEO

VRF-Eye Specialty group, plc
Memphis TN

Associated Membership Programs

We take pride in making it easy for our clients to access a wide variety of billing, coding, and compliance tools and resources where and when they need them. Our various membership programs offer convenient access 24/7.

A billing, coding, and compliance membership program designed to keep your ophthalmic staff connected with a team of experts helping them to navigate Medicare complexities. As a member, you will receive access to: 

  • Course IconA dedicated email to submit unlimited questions to our expert consultants
  • Course IconThe Messenger – our bi-monthly coding and compliance newsletter
  • Course IconBi-monthly prescheduled webinars on relevant billing and coding related topics
  • Course IconA customized annual Medicare Payment Rates Tool
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A bi-monthly billing, coding, and compliance publication dedicated to brining the latest Medicare-related, ophthalmology-specific updates straight to your inbox. Annual topics include:

  • Course IconDetailed industry updates
  • Course IconThe annual Medicare Physician Fee Schedule (PFS)
  • Course IconThe annual ASC Fee Schedule
  • Course IconThe Office of Inspector General (OIG) as it relates to the specialties of ophthalmology and optometry
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The Medicare Payment Rates Program is designed to help your ophthalmic and/or ASC billing team easily navigate Medicare updates and fee schedule changes throughout the entire year. Utilize this eye care specific guide to optimize reimbursement by:

  • Course IconSaving you time looking up your specific localities Medicare allowables
  • Course IconEasily integrating reimbursement rate data into your electronic practice management system
  • Course IconKnowing that expert consultants designed this tool with over 60 years of industry-specific knowledge
  • Course IconQuickly looking-up reimbursement rates by CPT code
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An in-depth online membership program providing 24/7 access to proven practice management tools, resources, and distance learning courses. BSM Connection provides you with the essential knowledge in the areas most important to business management. Included in the offering is a library of billing, coding, and compliance resources, including:

  • Course IconPatient visit summary and coding analysis by provider
  • Course IconBilling and collections dashboard report
  • Course IconAccounts receivable management reports
  • Course IconPayer contract analyzer tools
  • Course IconVarious distance learning courses such as "Maximizing practice collections" and "Medicare Billing basics"
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Get solutions from industry pioneers and leading experts.

Start your engagement with BSM Consulting by getting in contact and telling us a little about how we can best serve you.

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