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Our medical coding audits are designed to maintain accurate, compliant and efficient coding processes for practices like yours.
Identification and correction of coding errors such as wrong procedure or diagnosis codes can significantly impact claim accuracy.
Identify patterns of undercoding and overcoding. Undercoding results in revenue loss, overcoding can lead to legal repercussions.
Audit findings offer valuable feedback for improvement that can be used for implementing training programs and updating coding practices for your staff.
Get insights into the quality of your documentation, including medical records, physician notes, reports, etc. By detecting and correcting document errors, you can increase your clean claim ratio.
Regular audits will ensure that your claims adhere to regulations such as Health Insurance Portability and Accountability Act (HIPAA), Affordable Care Act (ACA) and other guidelines.
Determine the goals and scope of the audit. For example, improving coding and documentation, and detecting compliance issues.
Get 360⁰ perspective from a diverse team of experts such as certified coders, auditors, compliance, and clinical experts.
Conduct a thorough review of diagnosis and procedure codes, documentation, billing and collection processes and software/technology.
Provide well-documented audit findings, including coding errors, compliance issues and improvement areas.
Develop a roadmap based on the findings, including improving coding processes, changes to documentation practices, software/technology or additional training for staff, etc.
or Less Initial Denial Rate
Increase in Practice Collection
Clean Claims on First Submission
Net Collection Rate
of A/R Less than 30 days
We streamline your charge entry process to reduce claims denial and low payments.
We provide your patients with the best possible customer service to answer their questions, interpret their EOBs, and work with their insurance companies to get their claims resolved.
Our efficient team handles different types of remittances with accuracy and speed.
Our claim submission process is designed to improve accuracy and reduce rejections.
We know each insurance company’s appeal process and know how to effectively appeal denials to get your claims paid.
We are experts at getting through to the insurance companies to dispute improper denials and slow payments.