FOR INDEPENDENT PHYSICIANS & APPS
You’ve delivered the care. Let’s work on getting your claims paid. I help physicians and APPs identify documentation gaps, strengthen support for medical necessity, and address coding and denial issues that delay reimbursement. Contact MCRS today to discuss what’s holding up your claims and get practical guidance on your next steps toward payment.
Symptoms, findings & functional impact
Why this service, for this patient, now
Treatment, response & next steps
Practical education Specialty-aware guidance Compliance at the center
FIVE WAYS MCRS CAN HELP
Start with what is holding your practice back.
Let’s identify your next step.
Find out what is holding up payment. I help you understand the issue and identify practical next steps toward appropriate reimbursement.
Know where your claims need stronger support. A focused audit helps identify gaps between the care delivered, the clinical record, and the services reported.
Make a clear case for the care your patient needs. I help organize clinical support and payer requirements for approval requests and letters of medical necessity.
Build the skills that support stronger claims. Practical education helps physicians, APPs, and practice teams connect clinical care with documentation and coding requirements.
AI assigns the codes. I check whether those codes accurately reflect the provider’s documentation and follow applicable coding rules. Receive clear findings on supported selections, coding errors, omissions, and recommended corrections.
An independent coding review by Donnine Day.
HOW WE WORK TOGETHER
Start with a complimentary introduction.
Know the scope and fee before paid work begins.
COMPLIMENTARY INTRODUCTION
We’ll discuss the challenge your practice is facing and whether MCRS is the right fit. This first conversation is for understanding your needs and outlining possible support. Detailed claim, record, or coding review is part of a paid engagement.
SCOPE & FEE AGREED IN ADVANCE
You’ll receive a written scope describing the work, what you can expect to receive, and the fee. We’ll agree on those details before paid work begins.
SECURE REVIEW
If records are needed, we’ll arrange an appropriate secure process after agreeing to the work. Please keep patient information out of this website and your initial email.
FINDINGS & PRACTICAL NEXT STEPS
I’ll explain the findings and recommendations included in our agreement, with practical next steps for your documentation, coding, or workflow. Follow-up education can be included in the scope or discussed separately.
Email a general description of your practice’s concern. We’ll coordinate a time to connect.
BEFORE YOUR INTRODUCTORY CALL
Organize your practice details, service of interest, and general concern in a short intake questionnaire. Preview, edit, and download a summary to keep for your call.
No patient information. Entries stay in this page; nothing is submitted to MCRS.
Request a call separately by email.
Your summary does not book an appointment.
Yes. This complimentary call lasts up to 15 minutes and is an opportunity to discuss your needs, determine fit, and identify a possible scope of work. Detailed claim or record review, patient-specific coding advice, and tailored education are paid services agreed separately.
Browse the starting prices below. Your final fee is based on the agreed scope, complexity, and deliverables. You’ll receive the scope and fee in writing and decide whether to proceed before paid work begins.
Please send only a general description of your concern in your initial email. If records are needed for an agreed engagement, we’ll first arrange an appropriate secure sharing process. This website does not accept patient records.
CLEAR SCOPE. CLEAR STARTING PRICES.
All fees are in USD and reflect the scope shown.
Your written quote confirms the work and final fee.
YOUR FIRST CONVERSATION
Up to 15 minutes to discuss your practice’s concern, determine fit, and identify possible next steps. Detailed review and tailored education are paid services.
CLAIMS & DENIALS
From $350
per focused review
Claim corrections, appeal submission, and ongoing payer follow-up are quoted separately.
DOCUMENTATION & CODING
From $650
per defined office/E/M sample
Surgical, ASC, anesthesia, and other complex samples receive a custom quote.
APPROVALS & MEDICAL NECESSITY
From $350
per request
The treating provider reviews and verifies clinical statements. Submission and payer follow-up are separate.
PROVIDER EDUCATION
From $650
per virtual session
Custom curriculum, extensive new material development, and additional sessions are quoted separately.
VALIDATION OF AI-ASSIGNED CODES
By quote
for an agreed encounter sample and coding review scope
The quote reflects encounter sample size, code types, specialty, complexity, and agreed deliverables. Documentation questions that affect code selection are identified for provider clarification.
SURGICAL DOCUMENTATION
Understand how clearly the operative record supports the procedures performed, medical necessity, and coding. Choose a focused review or a bundle of notes from the same provider with similar complexity.
| Surgical encounters | Starting fee | Per encounter |
|---|---|---|
| 1 note | $175 | $175 |
| 3-note bundle | $495 | $165 |
| 5-note bundle | $800 | $160 |
| 10-note bundle | $1,500 | $150 |
| Larger or complex batch | Custom quote | |
Each note represents one surgical encounter. Multiple procedures, multiple surgeons, lengthy records, or extensive research may change the scope and fee. Bundle pricing is confirmed after discussing the case mix.
Your scope and fee are agreed before paid work begins. Larger samples, complex cases, additional education, appeal drafting or submission, and ongoing payer follow-up are quoted for the work requested. Reviews support accurate documentation and coding; payment and coverage decisions remain subject to payer requirements.
FIND YOUR SERVICE STARTING POINT
A few questions can turn “we need help” into a practical starting point for your practice.
About a minute. A focused next step.
No patient information needed.
A LITTLE CLARITY GOES A LONG WAY
Practical articles. Useful checklists.
A clear place to start.
NEW RESOURCE / UROLOGY / EFFECTIVE JANUARY 1, 2027
Review revised biopsy pathways, the new fusion-targeted lesion add-on, and the basic documentation requirements for accurate reporting.
NEW RESOURCE / MATERNITY CARE / EFFECTIVE JANUARY 1, 2027
The AMA released these significant reporting changes early. Review the new code chart, documentation considerations, and steps to prepare your practice with MCRS education.
NEW RESOURCE / OTOLARYNGOLOGY HEAD AND NECK SURGERY
Changes effective October 1, 2026, organized by chapter with clinical documentation guidance and practical takeaways for providers, administrators and coders.
NEW RESOURCE / DOCUMENTATION
Use Diagnosis, Status, and Plan (DSP), a practical example, and a pre-signing checklist to keep notes current. By Donnine Day.
NEW RESOURCE / DIAGNOSIS CODING
Why the expanded 2026 codes matter for injury reporting and which clinical details providers need to document. By Donnine Day.
FEATURED RESOURCE / ORIGINAL MEDICARE
Current CMS-R-131 form requirements, patient choices, and GA, GZ, GY, and GX modifiers. By Donnine Day.
FEATURED ARTICLE / E/M & REIMBURSEMENT
What to document, what to review when payment changes, and how to prepare a supported appeal. By Donnine Day.
Resources are education aids, not patient-specific coding or coverage determinations. Apply the current code set, payer policy, and rules for the date of service. Saved items stay in this browser.
THE PERSON BEHIND MCRS
BS, CPC, CPMA, CRC, CEMC, CENTC, CGSC, CVBC
AAPC Approved Instructor
I’m Donnine Day, and I help physicians and APPs make the clinical reasoning behind their care clear in the medical record.
Through Medical Coding and Reimbursement Solutions LLC (MCRS), I work with providers who want practical answers to documentation, coding, and reimbursement questions. Whether you’re working through a denied claim, seeking approval for a service, or wondering what an audit might reveal, I help you understand the requirements and identify a practical next step.
I bring 28 years of healthcare experience, with a career that began in surgical coordination and practice operations before expanding into coding, auditing, and provider education. I’ve worked through insurance authorizations, surgical scheduling, claim issues, and documentation requests. That experience helps me understand how reimbursement requirements affect the people delivering care and running a practice.
My services include documentation and coding audits, AI coding accuracy review, denial management support, assistance with prior approvals, and help developing letters of medical necessity. I help practices identify documentation gaps, understand recurring claim issues, and clearly communicate the clinical rationale supporting a requested service.
My experience spans surgical specialties, anesthesia, pain management, emergency medicine, and primary care, as well as services provided in ambulatory surgery centers (ASCs). For more than a decade, I’ve developed educational materials, taught certification courses, and educated physicians, APPs, residents, fellows, and coding professionals.
My approach is conversational and collaborative. I want to understand your question and the clinical circumstances behind it. From there, we can work through the applicable guidance and identify practical ways to strengthen your documentation and processes. You can expect clear explanations and room to ask questions.
“Documentation Drives Medical Necessity” reflects the focus of my work: helping your record communicate why the care you provided was needed and support accurate coding and appropriate reimbursement.
Outside of work, I’m a wife, mother, and grandmother of three. I enjoy traveling, spending time with my family, and following the clues in my family’s history through genealogy research. I’m also a plant lover, enjoy caring for my two fish aquariums, and love staying active through fitness.
If documentation questions, denials, or approval challenges keep coming up in your practice, I’d welcome the opportunity to get to know you and discuss how MCRS can help.
GO TO THE SOURCE
Official CMS resources