Medical billing and coding audits for healthcare practices
An independent review of coding, documentation, charges and claims - before a payer does it for you.
Most practices only find out their billing has a problem when a payer audit, a refund request or a steady rise in denials tells them. By then the same error has been repeated on hundreds of claims, and nobody can say whether revenue is being under-billed, over-billed or both.
We audit a defined sample of encounters and claims against the documentation, payer rules and your fee schedule: code and modifier accuracy, documentation support, missed or late charges, claim edits, denials and payment posting. Each finding is recorded with the claim, the rule and the dollar impact, and turned into corrective actions and provider education - with a follow-up review to confirm the fix held.
- Under-coding, over-coding and missed charges measured, not guessed
- Every finding tied to a claim, a rule and a dollar amount
- Provider-level feedback your clinicians can act on
- A follow-up review that shows whether the fix worked
Nothing happens that you can’t see
Every service reports into the same dashboard, so the work and the result are in one place.
Figures shown describe an example practice. They are not client results.
How much is Medical Billing Audit costing you today?
The free assessment quantifies it, using your own claims, denials and A/R data.
- No obligation, and you keep the findings either way
- Under two minutes to request
- No patient information needed to start