Medical audit service
Be On The Same Page with Your Payers & Patients!
You work hard to provide quality care to your patients, but are you getting paid what you deserve? Errors in medical billing means lost revenue, denied claims, and legal troubles. Therefore, medical billing audit services by a medical coding audit company become a necessity.
What are Medical Audits?
Medical billing and coding audits are necessary checkups to ensure a provider’s billing claims and coding documentation meet medical billing compliance. Certified billing auditors inspect patient charts and billing records to guarantee the use of correct codes that match conditions and care. Like routine physicals catching health problems early, audits diagnose issues in billing, allowing providers to correct course.
Audits are important as they reveal improper coding, incomplete documentation, missed charges, and noncompliance with reimbursement guidelines. This helps strengthen a provider’s revenue cycle by correcting errors proactively before they can lead to denied claims or penalties for incorrect billing. Regular comprehensive audits are advantageous as they ensure proper coding, completeness of records, optimal reimbursement, compliance with payer policies, and overall financial health.
How Does 99 Medical Audit Company Help?
99 works as a professional medical billing audit services company. Medical billing and coding is complex work full of pitfalls for error, calling for vigilant oversight. Therefore, our medical coding audit and compliance services provide this monitoring, serving as a safety net that preserves the integrity of the entire medical claims billing process.
The experienced billing auditors at 99, take a magnifying glass to documentation, coding choices, and the submitted claims to unveil inaccuracies and illuminate opportunities for billing cycle improvement. Our findings steer healthcare facilities toward error-free medical coding and full revenue capture.
Just as crucial, our high quality medical billing audit program heads off billing compliance violations and fraud that lead to fines, penalties and damaged integrity. Our audit service is thus a fundamental pillar upholding clinical, financial, and regulatory excellence.
Check our Medical Audit Solutions
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat.
Medical Coding Audit
We do medical coding audits for all types of medical records, including inpatient, outpatient, profee, and home health.
Medical Billing Audit
We do medical billing audits for all types of claims, including Medicare, Medicaid, commercial, and self-pay.
Government & Payor Mandated Audit
We prepare providers for and respond to government and payor mandated audits, such as TPE, RAC, OIG, DMEPOS, and Medical Necessity.
Clinical Audits
We conduct internal and external clinical audits to assess the quality and safety of your patient care and clinical outcomes.
Collection Aging Audit
We improve your cash flow by auditing your aged claims for errors and refiling denied claims with our collection aging audit.
Auditing Medicare Patient Charts
We audit Medicare patient charts, ensuring every dollar billed is justified and compliant, so your practice gets fully and fairly paid.
Are You In The Dark About
The Quality of Your Medical Records?
Let us shed some light on them!
Your Billing Problems and Our Auditing Solutions
Inaccurate billing and coding practices cost medical practices big. Denied claims lead to lost revenue. Backlogs lead to cash crunches. Errors lead to audits and penalties. Our medical billing and coding audit service sheds light on what’s broken in your workflows. After a comprehensive analysis of your people, processes and technology, we deliver specific recommendations to maintain compliance for a better-functioning revenue cycle.
Billing Errors
Affect the financial stability, cash flow, profitability, and sustainability of the healthcare organization.
Clean Billing Claims
With our comprehensive billing audit, we thoroughly examine each claim to verify correctness, securing maximum appropriate reimbursement to maintain financial health and endurance of your healthcare institution.
Coding Errors
Lead to claim denials, loss of revenue, overcharges, underpayments, patient dissatisfaction, and legal actions.
99% Claim Acceptance
We deploy advanced NLP and machine learning techniques to analyze medical records and catch coding mistakes, optimizing reimbursement and circumventing claim denials down the line.
Compliance Issues
Result in penalties, fines, audits, investigations, lawsuits, sanctions, and exclusion from federal health programs.
Meet Billing Compliance
Our robust billing analytics engine identifies trends, outliers and red flags in real-time, allowing for targeted audits to eliminate compliance risks and avoid government scrutiny.
Reimbursement Cuts
Could force healthcare providers to reduce staff, limit services, close practices, or accept fewer Medicare patients.
Maximum Reimbursements
Our proprietary AI-powered billing audit system analyzes your claims data to identify missed revenue opportunities and compliance risks, ensuring every penny is captured before reimbursement cuts hit your bottom line.
Our Coding Audit Service Promises Billing Compliance: Here's How?
From patient registration and insurance eligibility verification to charge capture and claim submission, we ensure precision and proficiency in every step of the revenue cycle. Our Expansive nature of Revenue Cycle Management (RCM) services caters to a broad spectrum of medical specialties
Auditing your coding accuracy
Assessing coding accuracy is a principal objective of our medical coding audit company. We thoroughly investigate medical charts to ensure codes mirror the diagnosis, completed procedures, and complexity level.
Improving your charge capture accuracy
Another essential element we examine is charge capture. We validate that all services rendered and supplies used are captured in the billing at the appropriate rates. Missed charges lead to lost revenue.
Auditing your billing documentation for compliance
Thorough documentation review is also part of our billing audit process. We assess whether the medical record provides clear, consistent documentation that supports the coded claims.
Performing audits of provider-payor contracts
Some other areas we examine are proper application of insurance payor contracts and fee schedules as well as accuracy of data entered into the billing system. Invalid fee schedules and data entry errors can sabotage reimbursement.
Are Your Claim Submissions Accurate?
Let us do a free health check for your practice
