Medical Billing Audit

Medical Billing Audit

  • Unveiling Excellence
  • Ensuring Integrity
  • Your Audit Report Partner

WHY AUDIT IS IMPORTANT?

icon-img

1. Ensure Financial Health and Decision-Making

It is important to understand your practice's financial status. Our medical billing audit will give you the insights you need to make informed decisions and making sure your practice will continue to thrive and grows sustainability.

icon-img

2. Achieve Billing and Coding Compliance

Stay compliant with our comprehensive billing and coding audits. We assist you in managing complex rules while minimizing the chances of making costly mistakes so that your organization meets all essential guidelines.

icon-img

3. Identify and Improve Billing Processes

Streamline your billing operations with our expert audits. We reveal those areas for you to work on increasing efficiency, ultimately saving time and cash thus improving your overall practice performance.

icon-img

4. Enhance Patient Satisfaction and Trust

If your billing and coding practices are checked thoroughly, you will get accurate billing, reductions in the likelihood of a patient disputes and improved overall patient experience. During billing processes, transparency and reliability promote patient trust and satisfaction.

MEDICAL BILLING AUDIT:

Boost Financial Health & Compliance

ENHANCING CLAIM PROCESSING, COMPLIANCE, AND FINANCIAL HEALTH WITH STRATEGIC

Our medical billing audit offers a detailed check-up of your practice’s financial activities. It helps spot any possible problems with how you get paid, deal with denied claims, and stick to billing rules. We look at more than 50+ variables and compare your results to what’s common in the industry. This gives you a clear view of your financial health over the years.

During the audit, we closely examine how your billing team handles their tasks, including how accurately they code, prevent denials and submit claims. We check if the services you bill match the services you have scheduled. This helps us find any missed opportunities at the front desk that could increase overall collections. Our report will highlight areas where your billing processes could improve and suggest ways to make things more efficient, ensuring claims are submitted correctly and on time for maximum reimbursement.

Our findings offer practical insights to fix any lags in your current methods, boosting how well your practice operates and its financial stability. This in-depth analysis is key to making informed decisions that push your practice toward optimal financial results and compliance.

medical billing audit

Medical Billing Audit:

Financial Insights for Stability

Our medical billing audit report provides in-depth critical financial details necessary to keep your practice running smoothly and to improve how you manage your billing procedures. The primary goal of our medical billing audit is to identify potential areas of error and verify the appropriateness of your billing practices.

Discrepancies in billing and coding can lead to significant revenue leakage and if these are not fixed, it can result in business instability. Our report gives you a high-level summary of the audits we performed at your medical practice and highlights key findings that can help you make strategic improvements.

Billing Audit:

Ensuring Accurate & Efficient Processes

Our medical billing audit services monitor the accuracy and efficiency of your billing process. We examine each payment invoice, whether paid or denied, to spot any mistakes in how services were coded.

Additionally, our comprehensive report gives you a clear picture of the financial situation in your business. It identifies problems such as processing delays, payment mistakes and errors in cash flow management. The report also highlights issues like differences in fee schedules, charges that haven’t been billed, discrepancies in payment posting and the overall financial well-being of your practice.

Optimize Claims & Revenue with Our

Medical Billing Audit

Our medical billing audit provides you with valuable information that pinpoint improvement opportunities for efficient claim processing and enhancing the reimbursement workflow. This report also helps you avoid compliance issues and fraudulent billing activities, such as over-coding or under-coding. We take a closer look at how you are currently handling payments and offer practical advice or actionable strategies on how to fix problems that could be causing revenue leakages.

Financial Comparison and Analysis

To better understand your financial health and how well your operations are going, we
focus on a few key areas:

Accounts Receivable Management

Operational Metrics

Revenue Analysis

Days in Accounts Receivable (DAR)

First Time Pass Rate (FTPR)

Claim Submission Volumes:

Patient and Service Volume

UNDERSTANDING YOUR REVENUE CYCLE MANAGEMENT

Our complete review of your revenue cycle management ensures that your practice maintains optimal billing compliance and identifies potential inefficiencies with in your billing process. Here is what we focus on

  • Billing Compliance
  • Process Efficiency
  • Claims Management
  • Error Analysis
  • Financial Health Checks
  • Credentialing Review

Complete Review and Improvement Strategies for RCM

When we look at your medical bills, we see more than just mistakes. We offer a comprehensive program designed to improve your financial health and the day-to-day operations of your practice. Here what we focus on.

  • Coding Compliance
  • Account Receivable Optimization
  • Revenue Cycle Management Enhancements
  • Providing Documentation and Data Reporting Improvements

MEDICAL BILLING AUDIT PROCESS

Our comprehensive audit process ensures transparency and integrity from start to finish.

  • Data Acquisition
  • Data Aggregation
  • Detail Financial Review
  • Audit Findings
  • Final Report Delivery