Auditing & Coding
- Independent Pre-Billing Coding Audits
- Non-Emergency Ambulance Coding Accuracy Reviews
- Medicare & Medicaid Ambulance Coding Audits
- Payer-Specific Documentation Assessments
- Medical Necessity Documentation Reviews
- Patient Care Report (PCR) & Physician Certification Statement (PCS) Reviews
- Coding Compliance Assessments & Educational Recommendations
Specialized Documentation Services
Documentation & Medical Necessity Reviews
Patient Care Report (PCR) Reviews
​Physician Certification Statement (PCS) Reviews
​Medical Necessity Assessments
Supporting Medical Records Reviews
Independent assessments of ambulance transport narratives and clinical documentation to identify deficiencies and support accurate, complete reporting.
​Reviews of PCS documentation for applicable certification, signature, and payer requirements.
​Evaluations of supporting documentation to determine whether the documented patient condition supports the medical necessity of ambulance transportation.
Independent assessments of relevant medical records to identify documentation gaps, evaluate consistency with ambulance transport records, and provide recommendations for improved documentation accuracy and compliance.
Specialized Documentation Support
ADR & Prior Authorization Support
​Documentation Readiness & Education
Customized documentation readiness assessments and educational guidance for ambulance providers and billing organizations, focusing on documentation completeness, payer requirements, and opportunities for compliance improvement.
Prior Authorization Documentation Support
​Review of medical necessity documentation, certification requirements, and supporting records for applicable non-emergency ambulance prior authorization requests. PACE identifies documentation deficiencies and provides recommendations before submission.
Medicare ADR Documentation
​Independent review and organization of supporting documentation for Medicare Additional Documentation Requests (ADRs). Services include identifying missing records, assessing documentation completeness, and providing recommendations to assist clients with preparing their responses.
Payer-Specific Reviews
PACE Audit & Compliance Group, LLC provides independent reviews of non-emergency ambulance documentation to assess alignment with applicable Medicare, Medicaid, and commercial payer requirements.
Our assessments focus on medical necessity, Patient Care Reports (PCRs), Physician Certification Statements (PCS), and supporting medical records. We identify documentation deficiencies and provide recommendations to help ambulance providers and billing organizations strengthen compliance and documentation accuracy