There are typically numerous opportunities to refine billing practices, from coding to collections.
Our extensive industry experience indicates that even minor billing discrepancies can lead to significant revenue loss and compliance issues.
By thoroughly reviewing your billing process against benchmarks and best practices, we help practices tighten their billing operations and improve financial performance.
What You Get
Billing KPI Report
A detailed report comparing your billing operations to MGMA benchmarks or custom KPIs, providing clear insights into performance and areas for improvement.
Detailed Audit Findings Document
This is an exhaustive report of audit results, identifying areas of concern and opportunities for enhancement.
Action Plan for Billing Optimization
A set of prioritized, actionable recommendations for addressing audit findings and bolstering billing efficiency.
Facilitated Review Session
A structured discussion with your billing team or service provider to review the audit findings and develop a corrective action plan.
Continuous Monitoring Strategy
Recommendations for ongoing monitoring of billing processes to ensure sustained improvements and compliance.
Educational Support
Training session for your billing staff on best practices, error prevention, and process optimization based on audit outcomes.
What We Do
Coding Accuracy Review
Detailed verification of medical coding precision for services provided.
Charge Posting Analysis
Timeliness assessment from date of service to charge entry.
Payment Posting Review
Scrutiny of how payments are applied, ensuring speed and accuracy.
Denial Management Evaluation
In-depth look at denial causes and resolution efficiency.
Write-off Process Assessment
Examination of write-off justifications and procedures.
AR Management Review
Analysis of accounts receivable, age stratification, and average days to payment.
Duplicate Claim Investigation
Identification and rate determination of duplicate billing instances.
Claim Error Rate Analysis
Frequency and typology examination of billing inaccuracies.
Refund Management Evaluation
Procedures for handling, calculating, and issuing patient refunds.
Why You Need This
Optimal financial health in a medical practice is often jeopardized by inaccuracies and inefficiencies in billing operations.
Our Billing Audit Services independently and objectively assess your practice’s billing and collection processes.
Free from affiliations with third-party billers, we provide impartial insights to enhance your financial operations. For a thorough analysis that captures trends and identifies operational deficiencies, we recommend an audit period of at least two years.
