Medical Billing & Coding Audit Services
Applying Industry-Best Practices to Ensure the Best Medical Billing Audit Services
We are committed to applying the best industry practices aligned with your business strategic growth plans to elevate your financial performance to thrive. We believe in deploying proven strategies, skilled talent, and optimal resources to drive financial stability and operational excellence to your healthcare practice.
Our comprehensive end-to-end Medical Billing audit services are specifically designed to enhance lead generation, improve patients’ satisfaction, and maintain uninterrupted workflow for your operation. Blessed with diverse talent pools, we ensure exceptional efficiency, profitability and transparency to your practice.
Claim Free Medical Audit
How Can CareCloud MB Offer Exceptional Medical Billing Audit Services
Medical Billing and Auditing is a complex procedure requiring extraordinary skills and vigilant oversight to steer healthcare facilities towards error-free coding, driving strategic improvements in revenue and regulatory compliance. On the other hand, compliance violations could lead to serious consequences such as fines and penalties, leading to financial losses and reputational damage.
Given the huge interest at stake, it is imperative to ensure preventive auditing to protect the revenue and integrity of your healthcare organization through efficient Medical Billing and coding audit services. You can safeguard your healthcare organization against financial losses by incorporating regular medical coding compliance checks into your practice. Partner with a Medical Billing which is committed to ensuring long-term success for your healthcare facility through the best Medical Billing audit services.
CareCloud MB is the most prominent and well-established Medical Billing organization transforming vision into reality through its best Medical Billing audit services. Our professionals are adept at spotting any billing discrepancies and promptly addressing them. We provide you with extensive data analysis and actionable insights to lead to better financial results, enhancing both compliance and accuracy.
How Can CareCloud MB Offer Exceptional Medical Billing Audit Services
Medical Billing and Auditing is a complex procedure requiring extraordinary skills and vigilant oversight to steer healthcare facilities towards error-free coding, driving strategic improvements in revenue and regulatory compliance. On the other hand, compliance violations could lead to serious consequences such as fines and penalties, leading to financial losses and reputational damage.
Given the huge interest at stake, it is imperative to ensure preventive auditing to protect the revenue and integrity of your healthcare organization through efficient Medical Billing and coding audit services. You can safeguard your healthcare organization against financial losses by incorporating regular medical coding compliance checks into your practice. Partner with a Medical Billing which is committed to ensuring long-term success for your healthcare facility through the best Medical Billing audit services.
CareCloud MB is the most prominent and well-established Medical Billing organization transforming vision into reality through its best Medical Billing audit services. Our professionals are adept at spotting any billing discrepancies and promptly addressing them. We provide you with extensive data analysis and actionable insights to lead to better financial results, enhancing both compliance and accuracy.
Check our Medical Billing Audit Solutions
Medical Coding Audit
We offer medical coding audits for all types of medical records including, inpatient, ProFee, home health, and outpatient.
Medical Billing Audit
We offer Medical Billing audit services for all types of claims, including Medicaid, Medicare, self-pay, and commercial.
Government & Payer Mandated Audit
We prepare healthcare providers with government and payor-mandated audits, such as RAC, TPE, DMEPOS, OIG, and Medical Necessity.
Clinical Audits
We conduct both internal and external clinical audits to determine the quality and safety of your patient care and clinical outcomes.
Collection Aging Audit
We ensure uninterrupted cash flow by auditing your aged claims and refiling denied claims with a collection aging audit.
Auditing Medicare Patient Charts
Our professionals audit Medicare patient charts, utilizing all options available to ensure every dollar is justified and compliant, so you are fairly and fully paid for your practice.
Offering Diverse Auditing Solutions to Your Billing Problems
Medical Billing is a notoriously complex procedure requiring diligent vigilance and skills diversity to manage clinical, administrative, and financial concerns. A minor negligence or error in Medical Billing and coding could lead to potential revenue loss and damaged integrity. Blessed with some of the most talented individuals, we offer incredibly sophisticated Medical Billing audit services. Our professionals swiftly identify and flag the gaps in your workflows. Our technology-savvy professionals utilize the latest technology to effectively address issues to ensure the uninterrupted workflow of your healthcare
practice.
Billing Errors
Affect financial stability, profitability, cash flow, and sustainability of the healthcare facility.
Clean Billing Claims
With our comprehensive medical coding audit services, we thoroughly inspect each claim to verify correctness, securing maximum reimbursement to maintain the financial health of your healthcare institution.
Coding Errors
This can lead to the accusation of healthcare fraud, claim denial, overcharges, revenue loss, underpayments, and patient dissatisfaction.
99% Claim Acceptance
Deploying advanced machine learning techniques helps us easily analyze medical records and arrest coding mistakes, circumventing claim denials and optimizing reimbursement.
Compliance Issues
Result in fines, penalties, investigations, audits, sanctions, lawsuits, and exclusion from federal health programs.
Assured Excellent Medical Billing Audit Services
Internal Audit Services
We conduct extensive data analysis of your internal process and documentation to ensure that they are in line with the industry standards. We also provide support strategies to healthcare providers to improve their financial and operational performance.
External Audit
We prefer third-party payers like Medicaid and Medicare to perform an independent assessment of your claims and payments. We recover underpayments, resolve billing disputes, and work with aged receivables.
Prospective Audit
Before submitting you to the payer, we evaluate your claims to make sure that they are complete, accurate, and compliant. We help you prevent rejections, denials, or delays in reimbursement.
Retrospective Audit
After your claims have been processed by the payers, we analyze them to identify any errors. We help you correct any mistake and appeal any denials to optimize your revenue cycle.
Comprehensive Audit
We provide a largely holistic approach when auditing your medical practice. Our Medical Billing audit process includes thoroughly examining all aspects of your operations such as coding, billing, and compliance.
Repeated Claim Denials? We’ll Fix It.
Our professionals conduct in-depth research into your claims data and billing records to recover missed revenue and improper payments.
Our Coding Audit Service Promises Billing Compliance: Here’s How?
Auditing Coding Accuracy
Proper coding is essential for correct reimbursement and compliance with industry regulations. We consider assessing coding accuracy as the most prominent part of our medical coding audit services. Our professionals thoroughly investigate medical charts to ensure codes are aligned with the completed procedures, diagnoses, and complexity level. We identify any upcoding or under coding issues and suggest remedial actions. Our top objective is to ensure that doctors are satisfied and have confidence in the standard and accuracy of their coding and capture the due value.
Improved Charge Capture Accuracy
The next crucial element that we examine is charge capture. We extensively analyze to validate that all the services provided and supplies used are appropriately captured in the billing. Missed charges lead to potential revenue loss. Our auditors make a diligent comparison of the documentation in the medical record to the itemized billing statement. We identify and capture revenue leakages. Our ultimate goal is to drive potential stability to your healthcare facility by resiliently closing any gap overlooking your legitimate charges.
Auditing Billing Documentation for Compliance
It is an essential part of our Medical Billing audit process to thoroughly review documentation. We assess whether the medical record provides transparent and consistent documentation that supports the coded claims. To pass payer and justify charges are required to ensure complete and accurate documentation. Our team is swift at identifying and flagging any documentation issue such as inconsistency, vagueness, missing credentials, or lack of medical necessity. We provide our clients with guidance regarding improving their documentation practices to better claim defense and audit survival.
Audits of Provider-Payor contracts
Some other areas our specialists examine include fee schedules, the application of insurance payor contracts as well as accuracy of data entered into the billing system. Data entry errors and invalid fee schedules can sabotage reimbursement. Our professionals verify compliance with payer contracts and recommend process improvement strategies to enhance billing system accuracy. Our comprehensive Medical Billing audit services cover all key facets to maximize revenue integrity and claim quality.
Enhance Your Data Quality and Compliance
Medical Chart Reviews and Validations
CareCloud MB has certified doctors, auditors, and clinicians who can perform various types of reviews on your medical charts, such as:
Medical Chart Reviews and Validations
CareCloud MB has certified auditors, doctors, and clinicians who are adept at performing various types of reviews on your medical charts,
Medical Chart Reviews
Our clinical auditors perform different types of medical chart reviews including inpatient, outpatient, radiology, mammography audit, DME audit, etc. We assess the quality of the care provided, documentation standards, compliance with coding, and adherence to the clinical guidelines.
Charge Validation
We review your charge capture process to ensure the charges billed to the payers are accurate and supported by the documentation in the medical chart. We also identify and resolve any undercharges or overcharges that may affect your revenue cycle.
