Audit- Medical Billing
Whether intentional or unintentional, many medical practices lose revenue due to ineffective billing and coding practices.
Medical billing audits offer a solution to this issue. Ensuring clean claims is essential for practice survival. Both government and private medical practices must establish efficient workflows to deliver value-based services to patients, resulting in a productive revenue cycle that meets financial objectives.
While some may assume auditing solely involves reviewing clinical data, it encompasses the entire billing process, from patient registration to payment posting to patient statements and collections. Proactively examining and evaluating billing performance allows for the identification and correction of potential issues, emphasizing the importance of prevention over cure.
Align Your Medical Billing with the Current Laws & Regulations
During the audit, several key medical billing functions are scrutinized, including:
- Billing documentation
- Medical coding
- Under-coding and outdated practices
- Misplaced CPT / ICD-10 codes
- Errors in patient demographics
A comprehensive report is generated to pinpoint and identify the weakest areas of your revenue cycle, equipping you with valuable insights to address them effectively.