Proactively, Physician Fee Analytics (PFA) helps optimize medical revenues by calculating the usual, customary and reasonable charges for the CPT codes employed in a specific geographical region.  Knowing what similar offices are charging, and understanding the true value of the services provided, assists doctors in negotiating carrier contracts. It also helps providers know what to charge in a "fee for service" model.  No matter the reason for choosing the services of PFA, the results are the same:  an increase in the bottom line for each facility.

 

Retroactively, through our past performance audits, we dissect 12 to 18 months’ worth of billing history, focus on missed opportunities, and recapture lost earnings.


Day-to-day, our secure transcription and coding services exceed current HIPAA requirements, provide the doctor with additional time to see more patients, and result in improved accuracy, data compliance, enhanced patient care and higher patient satisfaction. In short, we help doctors enjoy practicing again.


While we work with many groups, our service expertise is best utilized by physicians, in/outpatient hospitals, emergency departments, urgent care facilities, government medical institutions, medical associations, attorneys, CPA, financial advisers, home health agencies, nursing/skilled nursing facilities, ESRD facilities, chiropractors, physical therapy clinics, psychiatric clinics, and correctional facilities.

PFA’s experienced staff includes highly trained and nationally certified coders, medical auditors, expert witnesses and operations and human resource executives. These recognized medical industry experts have provided testimony in both federal and state courts, instructed over 35,000 people on proper coding techniques, have audited thousands of claims, managed tens of thousands of employees, and recruited and placed hundreds of high level/senior leaders.

What We Do

Physician Fee Analytics

Solving the puzzle of provider usual, customary, and reasonable fees!