Medical Billing Audit Services
“Stop Losing Money to Billing Mistakes”
Do not let billing mistakes hurt your revenue.
Let us help you stay on track.
About Our Medical Billing Audit Services
Medical billing audit services helps your medical practice in finding errors, ensuring compliance, and improving revenue. In these audits we review your billing records, coding practices, and claim submissions to find out the mistakes that could be leading to denials, delays or revenue loss.
There are many reasons why errors can happen in medical billing like incorrect coding, miscommunication or outdated compliance knowledge. These issues cost your practice money and affect your relationship with patients and insurance companies.
That is why medical billing audits are important. We provide you with the accurate status of your current practices, highlighting the problems and providing you a roadmap to solve them.
Features of our medical billing audit services
Compliance With Regulations
We have a team of certified medical billing experts, who stay updated with changing regulations. They make sure your medical practice claims are aligned with the latest regulations.
Detailed Error Identification
In our audits we review your records thoroughly to identify coding mistakes, documentation gaps, and claim submission errors that could be leading to denials or payment delays.
Actional Recommendations
In our detailed audit reports, we provide clear and actionable steps to address the problems in your medical billing to improve your revenue.
Revenue Optimisation
We identify your medical practice payments to find out where you are underpaying and overpaying so you can reclaim lost revenue and get back proper reimbursements from insurance providers.
Detailed Reports
We provide you with easy to read, in depth reports with performance metrics, compliance reviews, and coding analysis which are suitable for your practice needs.
Experienced and Certified Team
We have medical billing experts who are certified and have years of experience working with multiple specialties across all states of United States.
Digital Solutions
We provide you with software which integrates with your current systems, where you can see updates anytime and anywhere. This makes the auditing process faster and more accurate for your practice.
Types of Audits
At Claims4medical, we offer different types of medical billing audits services, so you can choose a solution which fits your current needs. These are the types of audits we offer.
Compliance Audit
In this service, we audit your medical billing process to find out if it is following all industry latest regulations including HIPAA, ICD, CPT and HCPCS. We review your records to find if there are any compliance risks and recommend corrections to avoid penalties.
Coding Accuracy Audits
In this service, we review your claims to see if proper medical codes are added for the services (diagnosis, procedure, and treatment) provided. In this way we help you reduce the risks of claim denials and underpayments.
Claim Denial Audits
In this service, we analyse your denied claims to find out the root causes and issues such as incorrect coding or missing documents and provide you a solution to improve your acceptance rate.
Documentation Audits
In this service, we review your clinical and billing documentations to make sure the services are accurately mentioned for the codes assigned in claims. In this way, we make sure your documentations are accurate and comply with insurance provider requirements which reduces the disputes.
Revenue Audits
In this service, we review your outstanding claims and payments to find out the issues that could be holding reimbursements. We help you fix these errors and resubmit denied claims which speeds up the payments and improves your cash flow.
Want a custom audit for your unique needs? schedule an appointment with us here.
Benefits of Our Auditing Services
These are the results you can expect from us after getting Claims4medical’s medical billing audits services.
Increased Claim Acceptance Rate
Your acceptance rate of claims on first submissions will increase because we will identify and eliminate errors that lead to claim denials.
Improved Cash Flow
Your cash flow will be improved because we will recover lost revenue by helping you address aging claims, underpaid claims, and resubmitting denied claims effectively.
Reduced Compliance Risks
Your compliance risks like costly penalties and audits from payers or government will be reduced because we will make sure all claims are following updated regulatory standards.
Reduced Future Billing Errors
Your future billing errors will be reduced because we will improve the accuracy of records, patient records and medical documentation.
Peace of Mind
Your mind will be at peace because your billing and compliance will be in expert hands.
Why Choose Claims4medical for Your Medical Billing Audit?
Nationwide Availability
We are working with practices across all 50 states in the United States. We understand the regional requirements and state specific regulations.
Comprehensive Audit Services
We cover every aspect of your billing process in our audits from coding accuracy to compliance check. Nothing is left behind.
Speciality Focused
We have worked with more than 67 specialties, and we understand that each speciality has their own challenges so we tailor our audits accordingly.
Certified Professionals
We have a team of 1,000+ certified coders, auditors and medical billing experts who are updated with changing regulations.
Proactive Problem Solving
We don’t just identify issues in our audits, we help you fix them with our ongoing support for long term improvements.
Cost Efficient Solutions
We are very cost efficient as compared to having an in-house medical billing team for audits. We save more than 70 percent of your cost which you would spend on if you have an in-house team.
Results
You can check out the results of clients who got reduced denial rates, increased revenue, and smoother billing operations after our audits.
Contact Us Today!
Success Stories
Frequently Asked Questions (FAQs)
How Often Should I Get a Medical Billing Audit?
We recommend regular audits at least quarterly but it depends on the size of your practice. Contact us and get free consultation on it.
How Long Does an Audit Take?
It depends on the type of audit and your practice size. Our team works efficiently to deliver results in as minimum time as possible.
Will the Audit Process Disrupt My Operations?
Not at all, we do audits without interrupting your operations. Our team communicates with your staff to make sure the process is seamless while focusing on delivery actionable insights.
How Do I Get Started with Claims4medical’s Audit Services?
Getting started is easy, contact us for free consultation.
