3. We know when policies
change, so we can help
you prevent and fight
denials and recoupments.
3

7. MGMA (Medical Group Management Association)
Why only 35%?
•Too time intensive
•High costs
•No tools for policy-based defense
“Only 35% of practices appeal
denials.”
7

8. Why Compliance PT?
Frequent payer policy changes are
difficult to track and understand in a
real-time billing environment.
Payers benefit from this chaos, so
the burden has shifted to providers to
keep pace with this constant stream
of policies changes.
Our Product Thesis:
Providers need a better defense.
8
Total Industry Policy Change Growth 2000 – Current*
0
50000
100000
150000
00' 05' 10' 14' 2015

9. Decrease Denials
Reduce Recoupments
Improve Efficiency
What We Do
9
Notification Summaries Tool Kit
Over 100,000 policy changes occurred last year
alone. We found that many denials were due not
to miscoding, but because policies had changed
in small but important ways with little or no
notification to billers, providers and hospital
systems.
Our Policy-Based Defense software keeps your
billing and coding rules current, explains complex
policy changes in plain English to your biller
coders, and provides tools to fight denials and
recoupments efficiently and affordably.

10. Timely
Notifications
Receive notifications when payer
policies change that affect your
billing. Know about changes before
billing mistakes happen.
10

11. Professional
Summaries
Our billing experts break down
complex policy changes into
actionable updates for your staff.
11

12. Full
Toolkit
Use our forensic tools to deep dive
into ever-changing payer policies and
prove medical necessity.

13. Policy Change
Compliance PT automatically
sends you relevant billing
rule updates
Respond with policy-
based proof in your
denial response
Provider
Updates EMR
Denial or Recoupment
Notice from Payor(s)
13
Billing Lifecycle Accepted
Revenue
Revenue

14. • Real time medical policy change
notifications to your biller coders and other
staff.
• Notes from our experts on the latest policy
requirements enable you to file more
meaningful initial claims.
• Create immediate internal changes to
medical documentation requirements to
prevent denials and recoupments.
What You’ll Receive…
14

15. When our ancillary care business received a $240,000
recoupment notice after a single policy had changed without our
knowing, we knew we had a new mission. We started Compliance
PT the following day.
“
15
“
Brian Panessa CEO, Compliance PT

16. 800.927.3495
compliancept.com
info@compliancept.com
Contact Us
1776 Peachtree Street
NW Suite 423 S
Atlanta, Georgia 30309