Explanation of CCI's Financial Products & Services

Table - Listing Financial Product & Service Options with Product ID

Please click on the description to navigate, or scroll down.

#	Description of Product or Service	Time On-Site
	AUDIT SERVICES
F1	AUDIT: Technical Review Only-10-Chart Audit: 77000 Codes	6.5 hrs
F2	AUDIT: Professional Review Only: 10 Chart Audit	6.5 hrs
F3	AUDIT: Freestanding Global 10 Chart Audit	8 hrs
F3A	AUDIT: Combined Technical & Professional 10 Chart Audit ((Requires same coding & DOS)	8 hrs
F3B	AUDIT: Combined Technial & Professional 10 Chart Audit (Coding Done Independently)	10 hrs
F4	AUDIT: In Office Focused Audit (Single review/technical or professional)	Not Required
F4A	AUDIT: Remote Limited	Not Required
F5	AUDIT: On-Site Audit	8 hrs
	SEMINAR SERVICES
F6	SEMINAR: Course P: Coding for Physicians	~ 2 hours
F7-1	SEMINAR: CODING 1.01: An Introductory Course for Radiation Oncology	2 hrs
F7-2	SEMINAR: Build A Case – Document A Case	1 hour 30 mins
F7-3	SEMINAR: Course T: Coding the Diagnostic & Technical Only Codes in Radiation Oncology	1 hr 10 mins
F7-4	SEMINAR: Simulation	1 hr
F7-5	SEMINAR: Isodose Planning-Devices Advanced Technologies (3D/IMRT)	2 hrs 30 min
F7-6	SEMINAR:Coding Stereotactic Radiosurgery	2 hrs
F7-7	SEMINAR: Brachytherapy	2 hrs
F7-8	SEMINAR: IGRT	1 hr
	COMPLIANCE
F8	Compliance Plan	4 hrs MD Edit
	SERVER BASED CODING HELP APPLICATION
F9	DIRECTREES® (Coding Help Application)
F10	SEQUOIA Annual Update Plan for DIRECTREES®	User's Guide Included
	CHARGE MASTER
F11	Charge Master Review: Technical Codes
F12	Charge Master Review: Professional Codes	NA
F13	Charge Master: New Department Construction
	ADDITIONAL SERVICES
F14	Additional Rate per Day
F15	20-Diagnosis Pro-Forma
F16	Practice Pro-Forma
F17	Customized Pro-Formas
F18	Newsletter
F19	Comprehensive Financial Forms Package
F20	Simulation Forms Package
	Total Contract Option	4.0 days

Click here to jump to the Price List for cost of services.

Total financial packages are available that will reduce the total cost while providing you with the services required to address all billing needs in your department.

Additional services include customized pro-formas, such as Iodine Seed Pro-forma and 20-Diagnosis Pro-forma, etc. Contact Churchill for more information in regards to customized pro-forma services.

CLICK HERE to download a PDF file that includes a summary of all financial products and services, or you may print the information directly from our web page. Prices are subject to change. Please contact Churchill Consulting, Inc. at 860-663-5630 to confirm current rates.

FINANCIAL PROGRAM OPTIONS - Identifying Current Billing Accuracy

EXPLANATION of AUDIT OPTIONS

The following is a summary of services included with the four audit options. Note that the ‘global’ audit option F3 is listed.

Service F1 - TECHNICAL Coding: 10 Chart Audit with On-Site Executive Summary

Service F1: AUDIT - Technical Comprehensive Audit Fee: $13,500

• This price reflects technical ONLY based audit.
• See F2 for a professional only audit.
• See F3 for freestanding audit.
• Note: Pricing includes one course per chart audited. Combined modality charts (i.e., EBRT & HDR, etc.) will be limited to two. An additional fee of $500 per chart will be charged for combined modality charts submitted for review in excess of two.

SUMMARY
Chart audits are the logical place to start when evaluating your organization’s current coding practice and an invaluable tool in determining charge capture efficiency. This comprehensive TECHNICAL ONLY chart audit option includes a complete review of the TECHNICAL component for ALL 77000 series CPT codes for each of the ten charts audited.
(See F3 for the combined TECHNICAL-PROFESSIONAL audit option).

INDIVIDUAL CHARTS: A subjective report is provided for each of the ten charts reviewed. Each code reported, in order of encounter, is reviewed. The chart review section of the report will include narrative findings for each chart, a spreadsheet presentation of the coding findings, and graphs of the Commercial and Medicare impact (per chart).

CODE-BY-CODE: The overall coding accuracy will also be calculated for each chart and for each code, adding important information to the overall financial impact summary. The level of accuracy will be presented by percentage, providing quantitative findings to compare future audits too.

FINANCIAL IMPACT: The financial impact will be graphical exhibited based on actual findings and represented with potential coding, demonstrating the optimal revenue opportunity for your organization.

EXECUTIVE SUMMARY REPORT: The final executive summary report, which is provided to the client in electronic format via PDF, is presented on-site during the ‘on-site executive session’. The final report includes all subjective findings, complimented by findings presented via spreadsheet and graphically. The final report includes three (3) sections.

• Section one (1) provides the summary of all compiled findings
• Section two (2) includes the individual chart findings
• Section three (3) includes the code-by-code findings

The chart audit review process requires that your current charge master and certain portions of the ten charts be sent to Churchill’s office for evaluation and database entry. Churchill will perform a complete code review, examining each chart for completeness, proper billing processes, and documentation. The audit will determine if your billing is consistent while analyzing your current billing practice. Each code reported will be individually reviewed and will include a color-coded narrative summary. The color-coding will correspond to the graphs and spreadsheet summaries in the accompanying financial impact report. Codes will be rated as correct, incorrect, code level incorrect, missed, or potential; and that information will be used to determine the financial impact of the findings.

An estimated financial impact summary will be included in the report. In the past (prior to advanced technologies) we found that most centers missed an average of 20% - 35% of allowable charges. Currently, we find that an average of ~ 45% of codes or level of code are reported INCORRECTLY, placing the organization at risk. An audit is paramount in identifying your organization’s area of risk (exposure).

Recommendations for coding will only be made for services that have been provided with complete substantiated documentation. Items that are currently billed that do not have proper documentation in the patient’s medical record will be identified as ‘credits’ in the final chart summary, as the medical record must support all coding.

10-Chart Audit Report Format

Each chart review results in the following:

1. A detailed narrative report for each chart, usually 3-6 pages.
2. Every procedure reported is examined for appropriateness. The actual coding is compared to the expected coding.
3. Discrepancies in coding are listed in categories (credit (RISK), credit-level-adjust (RISK), missed and potential.
4. Spreadsheet summary of actual coding vs. expected coding depicting the financial impact. This report calculates the percentage of codes adjusted (in the four categories listed above). This impact is critical, as the net coding error may be zero, while a large percentage of codes may have been adjusted, all of which represent RISK.
5. Spreadsheet summary demonstrating the financial impact of the credits, adjustments and potential coding. Financial impact reports are completed for the Medicare fee schedule and your commercial fee schedule.
6. A detailed written executive summary report, provided electronically via PDF file, will summarize the overall findings for each code, provide recommendations for proper code utilization, and include documentation requirements and recommendations to improve the processes and increase revenue.
7. Summary graphs will be included that will demonstrate the financial impact by diagnoses and by Medicare and Commercial fee schedules.

On-Site Executive Summary

The on-site executive summary is not scheduled until all materials have been received by Churchill and reviewed for completeness. The on-site executive summary will then be scheduled in Churchill’s next available date in our calendar queue. Some billing issues or questions may need to be confirmed with the physician or physics staff when first arriving on-site. During the executive summary, the financial findings are presented to the leaders, on a 'need to know basis'. The financial impact presentation will require approximately 90 minutes. Regulatory requirements will be discussed in detail.

The remaining five hours will be spent presenting the narrative and coding findings for each chart. All available staff members should participate in this presentation. This presentation will include a detailed review of coding errors, recommendations for improved documentation. Churchill. often includes complimentary forms in order to provide methodologies for improved documentation.

Sending Chart Information

When sending the billing summary, if you have the capability of grouping your charges per procedure, such as all 77300 charges listed in order of date of service, it is easier for us. Be sure that the CPT and description of the service is included in the printed billing summary. A surcharge of $1,000 is added if charge summaries are sent with only facility codes rather than CPT codes. The total quantity must be listed as well as the date of service.

Although we welcome your complicated charts, choosing charts that are the most representative of your standard treatment regimens will provide a greater degree of statistical relevance to the findings. Pricing includes one course per chart audited. Combined modality charts (i.e., EBRT & HDR, etc.) will be limited to two. An additional fee of $500 per chart will be charged for combined modality charts submitted for review in excess of two.

If you choose this option, the following information should be copied and sent to CCI:

• Professional Commercial Charge Master (Option F3)
• Technical Commercial Charge Master (Option F1)
• (If you are billing globally, please send the global charge master)If you have contracted for the Professional and Technical Combined Audit (F3) please send both charge masters.
• Coding summary for the entire course of therapy-both professional and technical (requires CPT® Code not facility code)
• Quantity of Code(s) Posted
• Date of Service/Date Posted
• Consultation/H&P
• Clinical Treatment Planning Note
• Weekly Progress Notes
• Medical Necessity Forms or Notes
• All Physician Simulation Procedure Notes
• Technical Simulation Set-Up Notes
• Physician Prescription for Treatment Regimen
• Copy of the Graphical Treatment Record (each chart)
• Isodose Plan(s), BEVs, Irregs, All Hand Calculations
• Copies of all special dosimetry orders and reports
• Copies of all DRRS (printed or jpeg; no films necessary)
• Copies of the Treatment Photos
• Documentation for weekly physics services
• Any special physics consultations
• Treatment Summary Note

The diagnoses that represent the widest range of billing codes include:

1. metastatic - any area
2. head and neck -with electron boost (standard planning or 3D)
3. breast with supraclav -with electron boost (standard planning or 3D)
4. prostate - IMRT
5. prostate EBRT &implant
6. GYN with EBRT &with brachytherapy (implant or HDR)
7. lung - 3D
8. curative brain – 3D, IMRT and/or SRT
9. IMRT case of your choice
10. Advanced technology regimen, i.e., SRS/SBRT

Please choose ten (10) chart samples from the list above. (One course of therapy includes one entire treatment course. If second non-concurrent areas were treated, that would be considered a second chart, i.e., lung in June - brain in September.) The diagnoses listed above will provide us with a representation of the majority of CPT codes that are used in radiation oncology. If you have multiple physicians in the department, you may consider sending the same diagnosis for two physicians to allow us to review the consistencies within the department. For example, you may choose to send two breast cases or two head and neck cases. Please be sure to include at least one 3D regimen and one IMRT regimen if you provide these services. If your organization provides brachytherapy procedures, please include a chart for each type of service, i.e., prostate with implant, GYN with HDR, MammoSite, etc.

Service F2: AUDIT - Professional Coding 10 Chart Audit

Fee: $13,500

This comprehensive PROFESSIONAL ONLY chart audit option includes a complete review of the PROFESSIONAL component for ALL 77000 series CPT codes for each of the ten charts audited. In addition, all professional only codes will be reviewed. The professional only codes include the Evaluation & Management services (99000 series codes), physician treatment planning (77261-77263) and weekly physician management charges (77427, 77431, and 77432). Please see F1 for presentation and report format.
(See F3A for the combined technical-professional audit option)

99201-99255 - E/M: The corresponding consultation reports for the charts submitted for the technical review will be examined in detail. The mandated elements for E/M (chief complaint, HPI, ROS, PFSH, physical exam, and level of decision-making) will be examined for appropriate documentation and coding level. A complete narrative will result summarizing all findings. Recommendations for documentation and/or code selection will be made.

77427 - Weekly Management:The weekly management for the entire treatment regimen will be reviewed. Findings will be summarized and recommendations will be made as necessary.

77261-77263 - Physician Clinical Treatment Planning:The physician clinical treatment planning is a cognitive process, but documentation must be available or implied by the work done to substantiate the level chosen. All charts will be reviewed to determine if the proper level was chosen and if appropriate documentation is available.

Services F3: AUDIT - Global 10 Chart Audit

Fee: $16,500

This is the chart audit option for freestanding centers that are reporting globally. Please see F1 for presentation and report format.

Please see service F3A if your freestanding center is reporting Part A and Part B separately and separte reports are required.

Service F3A: AUDIT - Combined T & P: 10 Chart Audit (Same coding & DOS)

Fee: $17,500

This is the chart audit option for centers who wish to have a combined technical/professional audit who bill the same codes on the same data of service. Although separate reports will be completed for technical and professional, the subjective findings for the individual charts will be the same. The financial findings (report and on-site presentation) will be separate.
Please see F1 for presentation and report format.

Service F3B: AUDIT - Combined T & P: 10 Chart Audit (Coding Done Independently)

Fee: $20,000

This is the chart audit option for centers who wish to have a combined technical/professional audit but bill independently. This option applies for all joint audits (technical & professional) that have different procedures and/or different dates of services reported for the same procedures. Although separate reports will be completed for technical and professional, the subjective findings for the individual charts with the inconsistencies (high area of risk if different DOS or code is reported for the same procedure) will be the same. The financial findings (report and on-site presentation) will be separate. Please see F1 for presentation and report format.

Service F4: AUDIT - In-Office Focused Audit

Fee: $7,500

In-Office Short (Focused) Audit

This type of audit is only recommended for clients who have already had a complete audit and staff education. This level of audit may be considered for your annual audit to ensure that you "maintain the gain" and continue to code correctly. As with the Comprehensive Audit, ten charts must be copied and sent to CCI for review. The Comprehensive Audit provides a full narrative for every code. The Focused Audit only includes a narrative for those codes that were reported incorrectly or if the required documentation is missing or inadequate. The final report will demonstrate the coding levels posted compared to the coding levels expected.

This report DOES NOT include the multiple levels of adjustment (credit, credit level-adjust, missed, potential) that are included in the Comprehensive audit. Only the net coding outcome is presented, although the narrative data will include a summary of the corrections. For example, if you report a simple simulation followed by a complex simulation, and the medical record demonstrates that the initial simulation was complex, followed by a block verification simulation (simple), the net outcome will be zero. A financial impact report will be completed for each chart as well as the overall financial impact of the ten charts combined.

Note: The $7,500 fee reflects one provider level of charging, i.e., freestanding center or hospital OPPS. An additional fee of $2,500 will be charged to complete a corresponding report for the physician component if contracted by the hospital, or visa versa.

An in-office focused audit follows the same format as the on-site audit, utilizing the same program and resulting in the same report, but 10 charts are guaranteed.

Service F4A: AUDIT – Remote Limited

Fee: $250 per hour

Remote Limited Audit

Ongoing auditing of charges will typically yield improved claims management processes, cash flow and compliance with applicable laws and regulations. By subscribing to regularly scheduled audits, specific coding issues that may recur in similar claims submissions will be identified. Careful pre-submission monitoring and review of these similar claims will safeguard against errors that could result in a claim denial.

A remote billing audit will be performed by Churchill Consulting, Inc. (CCI) to ensure that codes are appropriately reported according to CPT guidelines and conventions and carrier policies.

Two types and two levels of remote limited audit services are offered.

Options include

• Coding review only, prospective audit
• Coding review only, retrospective audit
• Coding and documentation review, prospective audit
• Coding and documentation review, retrospective audit

To conduct this type of audit, coding summaries will be exported to a dedicated audit program created by CCI via excel software application. The imported coding summary shall include the DOS, CPT code (with library description), quantity, technical and/or professional component, and modifier.

CCI will subsequently enter a brief comment on the accuracy of each entry. Discrepancies, errors, and/or comments will be entered under a comment section. For each category reviewed, findings will be indicated by use of a drop-down selection, and that selection will contain limited descriptions, such as yes, no, available, not available, NA, etc. for findings in regards to the appropriateness in each category reviewed. Short subjective finding will be added as necessary.

This audit process will be limited to the above described format; no financial impact is calculated, with findings being reported per chart reviewed.

Service F5: AUDIT - Coding Charts On-Site

Fee: $5,000

On-Site Audit

An on-site audit provides you with eight hours on site and results in the review of approximately four-six charts, depending on the complexity of the charts selected. It is in your best interest to review charts that are representative of your standard treatment regimens. Extremely complex charts require addition time and the on-site audit is time dependent. The audit process is performed during a 7-˝ hour time frame, followed by a 30-minute discussion of findings.

The total number of charts reviewed varies, based on the complexity of the charts submitted. If the executive summary exceeds the eight hours, the hourly rate will go into effect.

On-Site Report & Findings Format

An excel program is used to enter and to present the findings. Actual billing (which we request to be sent prior to arrival) is entered into the program. Charts are then reviewed for actual coding and the data is entered into the program. All coding is then compared.

A comment section next to each code references comments on findings. Statements will consist of OK if findings are correct. Other comments will include the reason found for the discrepancy in findings.

Final Report Format

A final report is generated, that is a printed copy of the spreadsheet with associated comments. Depending on the complexity of the charts reviewed, 4-6 charts are usually completed in the time period provided during an on-site audit. No electronic materials are provided.

Cost On-Site Audit

The cost is $5,000 for the first day plus travel. You can contract for multiple days at $3,500 for each additional day.

F6 - COURSE P: E&M BILLING & CODING for PHYSICIANS

Service F7-1 – F7-8 – EIGHT ADDITIONAL CODING SEMINARS to CHOOSE FROM

Click SEMINAR to navigate to the seminar section, which provides complete details in regard to all available seminars.

SEMINAR MENU RATES

• Seminar rates are based on an 8 hour ‘on-site day’, charged at the rate of $4,000 for day one. A day provides for six (6) hours of directed training. Simply select the seminar topic(s) that fits your needs.
• Seminars scheduled in association with chart audits (on current days with the on-site executive summary) will be discounted by $1,000, resulting in a $3,000 per ‘day’ seminar rate.
• Rates include handouts for up to eight (8) attendees. A nominal fee of $35 per person (within the organization) will be charged for handouts for additional attendees.
• Seminar selections exceeding the initial day one criteria listed above, will be charged at the rate of $3,000 per ‘day’ or $400 per additional hour of seminar time.

SEMINARS ARE DISCOUNTED with AUDITS

If any of theses seminars are scheduled concurrently following a chart audit during the same on-site visit, the fee(s) for the courses will be discounted. Outside attendees will be charged in addition to organization’s seminar fee.

All seminars are conducted via "Power Point". If notified, CCI can supply the overhead projection system.

Information is directed to radiation oncologists, physicists, dosimetrists, radiation therapists and billing personnel who are interested in coding accurately. The standard CPT® codes reported in radiation therapy are discussed in depth. Discussion includes the proper usage and various levels for each code category, required documentation and utilization guidelines.

Reduced Rate: Multiple Seminars (F6 – F7-1:F7-8) Scheduled Concurrently

Service F8 - Compliance Plan

Fee: $5,000

Requires approximately four hours interview time (teleconference) with the physicist and/or dosimetrist and/or other appropriate individuals to establish coding guidelines.

The Compliance Plan is an integral part of the organizations comprehensive compliance program. The physicians or hospital may have a corporate compliance plan that addresses the requirements stipulated by the OIG, but this product provides you with the actual guidelines that will be followed in your department.

As part of a complete compliance plan, CCI will assist the physicians in developing a physician guideline for dictation. The worksheets provided to the physician’s for edit will provide the foundation for protocols in regards to each region, detailed per regimen.

• Problem pertinent, pertinent negatives that will be included in the ROS dictation for each region treated,
• The appropriate level of decision-making,
• What must be included in the medical record to justify each level, and
• The appropriate use of block confirmation simulations.

Easy to use preformatted worksheets will be sent to the physicians in electronic format. The worksheets demonstrate the usually and customary criterion already listed. The physicians will use drop down toggles for edits as required.

The compliance plan product will result in the following:

1. Dictation outline
   This outline will clearly indicate where you actually document each element in your dictation. This outline should be included with all audit requests to assist the auditor in locating required elements.

2. Coding guidelines
   Each CPT® code that may be reported will be included in this document. A description of use for each code will be included as well as a "posting charges" section that will document how coding is approved and what dates of service are used to post charges. An example would be an isodose plan that is computer generated on one day but not actually reported until the isodose plan is approved and signed by the radiation oncologist. It is important for the auditors to understand why dates of service in the medical record and posting dates may vary.
   
   Your Local Medicare Review Policy (LMRP) will be integrated with the coding guidelines, providing that you can supply CCI with an electronic copy of your LMRP. This will ensure that your coding guidelines reflect your carrier's rulings.

3. MD Pocket Grid
   A pocket grid (spiral bound 3 inch by 4 inch) will be customized to correspond with the guidelines established in the workshop. You can carry this tool in your pocket or lab coat and reference it when you perform your dictation. Fee includes up to 3 pocket grids. All final information is also provided in a PDF file for easy reference. Additional pocket grids may be purchased at $75 each.

Service F9: DIRECTREES® (Coding Help Application Program)

Fee: $12,500 (*Includes up to 5 Users)

*Note: Licensing for the DIRECTREES® application is address specific.

Satellite licenses, at a discounted rate, are available for those organizations who ‘share staffing’. A License is required ‘per address’

RUN A DEMO VERSION of DIRECTREES® HERE

Click here to launch a demo version of the DIRECTREES® Coding Help Application. You will be requested to completed a form for contact, which will be followed by an End User License Agreement (EULA) screen. Please scroll to the bottom of the EULA and select 'accept' to launch a demo program. To return to our web page, simply click on the logo in the upper right hand corner.

Please contact CCI by clicking here if you have any questions or if you wish to order the DIRECTREES® program.

Reference and Testimonial Downloads

• DIRECTREES® Support Letter
• DIRECTREES® User List

DIRECTREES® CODING HELP APPLICATION

Churchill Consulting, Inc. (CCI) created a copyrighted product in 1992 that was customized for each client and provided in paper format known as “Directory-Trees.” The ‘Trees’ provided concise coding summaries and documentation instructions for various treatment regimens. This product was the foundation for the current browser-based DIRECTREES®.

BROWSER-BASED

DIRECTREES® is a now a powerful browser-based online help tool, providing the most sophisticated coding and documentation assistance in radiation oncology. Our software is simple to deploy. The program features auto install, which creates an auto launch icon on the desktop. This icon can be e-mailed to the various workstations within the department, providing easy access for all users.

The DIRECTREES® program can be accessed from any computer, PDA or handheld device. This tool will be used by physicians, physics staff, therapists, and coders, ensuring accurate coding and maximizing revenue.

PRODUCT OUTLINE
The DIRECTREES® license includes the following:

• License per single address
• Updates for one year
• Newsletter subscription
• A private account on our web page that includes 20 coding questions
• Forms package

ANNUAL UPDATES

The SEQUOIA plan provides for annual licensing updates of the DIRECTREES® program. All features listed above are included with your annual license, which is paid yearly on your anniversary date.

SYSTEM REQUIREMENTS

The DIRECTREES® program is installed from a CD-ROM. The program is browser-based and can be loaded on standalone PCs or a central file server, providing easy access for all Licensed Users within the organization.

To display, the DIRECTREES® program requires:

• A supported Internet browser (minimum versions: Internet Explorer (IE) 5.5, Netscape Navigator 6.0, Firefox 2.0)
• JavaScript enabled display
• Windows 2000, XP, or Vista operating system
• 40 meg of free disk space

HOW DIRECTREES® WORKS
Simply click on the DIRECTREES® Help Icon on your desktop to launch the program. The TREES menu provides over ninety treatment regimen selections. Each sample TREE includes a case outline, comprehensive list of procedures in order of patient encounter, list of all associated codes, dynamic pop-up documentation guidelines to ensure that the user is aware of all coding and documentation requirements, and links to coding and reimbursement summaries.

1. TREES: The TREES menu provides over ninety treatment regimen selections. Each sample TREE includes a case outline, comprehensive list of procedures in order of patient encounter, list of all associated codes, dynamic pop-up documentation guidelines to ensure that the user is aware of all coding and documentation requirements, and links to coding and reimbursement summaries.
2. Coding Summaries: This tab provides detailed coding summaries (all codes in order of patient encounter) and condensed coding summaries (codes in numeric order with total quantities). The detailed coding summary can be exported and attached to the patient account. Our unique format allows you to enter the date of service and final quantity. This process will ensure accurate coding and maximize your collections. The condensed coding summary is the ideal tool for final audit.
3. Reimbursement & RVU: Reimbursement summaries are available for the majority of TREES. There are four reimbursement tables for each TREE. They include APC, technical, professional, and global reimbursement summaries. In addition, the corresponding RVUs have been calculated for every reimbursement summary. This module is the perfect tool for patient financial counseling, internal pro-forma work, and staff utilization.
4. Rules of Thumb: This tab is our user's guide. As licensed users of the AMA, all CPT data is provided directly to you in this application. Information is supplemented with Medicare information, the Federal Register, and other pertinent sources. Documentation and utilization guidelines are included for every code. Additionally, a FAQ section provides the user with common questions with supporting answers to assist in implementing correct coding.
5. Rates and RVU: This section provides tables demonstrating all current code reimbursement rates and associated RVUs.
6. Newsletters: Churchill publishes the Churchill Update, a quarterly Newsletter. Newsletters provide information as rulings occur. Newsletters are added to the DIRECTREES® application twice a year. Our Newsletters are our way of keeping you current between releases.

EXPORT CODING SUMMARY
The detailed coding summary can be exported to a word document and attached directly to the patient’s chart. Columns are available for you to simply add the date of service that the procedure was performed and the final quantity. Never miss codes again!

REIMBURSEMENT/RVU
Reimbursement summaries are provided for APC, technical, professional, and global fee schedules. Synopsis graphs and data are also provided per region. Use this information for patient financial counseling, calculating your return on investment (ROI), projecting revenue, and calculating staff utilization.

EMR FORMS PACKAGE
The program includes an EMR ready forms package. Save the forms as template files in your system, and have immediate customizable forms ready for every patient encounter.

Our January 2009 Version 3.09.01 will include EMR ready weekly assessment forms!

UN-CUSTOMIZED FORMS INCLUDED WITH DIRECTREES®

The following forms are available for non-DIRECTREES® clients for $1,500 and are included with the purchase of the DIRECTREES® application.

BILLING FORMS