Customized Medical Auditing Solutions
Increase your practice’s revenue and protection with professional medical coding auditing services that eliminates risk by correcting inaccurate coding trends.
The Importance of Internal Medical Auditing
With a wide range of processes and daily operations, there are lots of opportunities within your medical practice for inaccurate or inefficient coding.
These lapses in code can have a negative impact on everything from the quality of your patient care to billing efficiency, costing your reputation and ability to generate income.
By having an experienced team of auditors review all elements of internal coding, you can improve everything from compliance to operations.
Our Medical Auditing Services
We help medical professionals optimize coding, billing efficiency and quality of care by conducting thorough audits of coding, before fixing inaccuracies and issues that we identify.
What We Offer
Our internal audit procedures:
Reduce Coding Compliance Risk
Our specialists will assess your current code to:
● Ensuring that all compliance regulations are met
● Identify any under-billing or over-billing services
● Avoid missed revenue opportunities by maximizing coding accuracy
● Minimizing compliance risk by assuring proper documentation
Determining Inaccurate Coding Trends
● Opportunities to improve financial and data-quality goals
● Improved billing integrity through optimized front-end and back-end processes
● Accurate performance chart audits with detail rationals
Fraudulent Claim Protection
Our audits protect against fraudulent claims and billing by identifying outlier information that deviates from national averages due to inappropriate coding, insufficient documentation or loss of revenue.
Discovering variances can drastically reduce fraudulent claims, keeping your practice compliant while saving efforts and resources.
Coding Optimization
By identifying and discovering any problem areas of coding, our audits prevent insurance or government agencies from challenging inappropriate coding practices.
● Protect against audits from Recovery Audit Contractors (RACs) or Zone Program Integrity Contractors (ZPICs)
● Eliminate under and over-coding, as well as code overuse
● Correct poor unbundling habits
● Ensure proper billing for documented procedures