Our Services
Medical Billing Audit Services
Accurate, Compliant, and Profitable Billing Our audit services help healthcare providers reduce billing errors, improve claim accuracy, and ensure full compliance with industry regulations. We identify gaps, strengthen your revenue cycle, and give you clear, actionable solutions so you can focus on patient care while we safeguard your practice’s financial performance.
Medical Billing Audit Services We Provide
We provide a complete suite of medical billing audit services for clinics, hospitals, and specialty practices, including:
The scope of our audits is to review all the parts of your billing process. This includes:
Claim Accuracy – We Verify that the claim has passed through coding, been charged correctly, and has the correct billing details.
Payment Compliance – We ensure payments are consistent with contract terms and the payer’s regulations.
Charge Capture – Our team Confirms that every service made and delivered is billed appropriately.
To protect your organization from fines and penalties, we conduct compliance audits, which include:
HIPAA Compliance – Making sure that patient information is protected as well as how billing is done to meet the set privacies.
Regulatory Requirements – Understanding and following CMS rules as well as other regulatory rules that concern the company’s billing process.
We review denied claims to identify patterns and underlying issues, helping you to:
Reduce Denials – The first step with claims denials is to determine why certain claims are rejected repeatedly.
Increase Approval Rates – Modify workflows to increase first-cycle claim approval rates.
Our team of certified coders will evaluate your coding practices to ensure:
Coding Accuracy – We do not code loosely which results in the loss of revenue.
Medical Coding Standards – We make sure that codes comply with existing guidelines of CPT, ICD-10, and/or HCPCS standards periodically.
In order to take an effective look at your revenue opportunities, we analyze each phase of the revenue cycle. Our audit includes:
Claims Processing – This involves comparing the effectiveness of processing of claims and the billing cycles.
Payment Posting – Checking on payment details and ensuring that errors are corrected.
Account Receivables – This concerns the identification of outstanding payments and how collections are going to be made.
Our audits help identify risks in your billing operations, focusing on:
Billing Errors – Understanding common errors that have a direct impact on revenue.
Compliance Risks – Identifying ways that will help understand areas where your practice is most likely to get into trouble legally and financially.
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Our Audit Process
Our Medical Billing Audit Services follow a detailed and structured process to ensure accuracy, efficiency, and transparency:
Initial Consultation
- We assess your billing goals, compliance requirements, and revenue objectives to create a tailored audit plan.
Data Collection
- We securely gather claims, coding, payment, and account information, maintaining HIPAA compliance at every step.
Audit Execution
- Our team reviews coding accuracy, compliance standards, revenue flow, and risk factors to uncover potential issues.
Analysis and Reporting
- You receive a detailed report highlighting findings, issues, and clear recommendations for improvement.
Strategy Implementation
- We work with your team to apply recommended changes and offer guidance and training for lasting results.
Ongoing Monitoring
- We provide periodic follow-up audits to keep your billing accurate, compliant, and aligned with regulatory updates.
What Makes Practice Claim So Successful as an ASC Billing Company?
We reduce repetitive tasks in your employees to make them dedicate their time and attention to patients. We reduce repetitive tasks in your employees to make them dedicate their time and attention to patients.
Benefits of a Billing Audit
Enhanced Accuracy
Identify and correct billing and coding errors to reduce revenue loss.
Increased Revenue
Improve collection rates and reduce denials for faster, more accurate payments.
Regulatory Compliance
Ensure all billing processes meet federal and state requirements to avoid penalties.
Streamlined Revenue Cycle
Eliminate process inefficiencies for faster claim turnaround and better cash flow.
Stronger Denial Management
Address root causes of denials to improve approval rates and reduce administrative costs.
Risk Reduction
Detect and prevent financial and legal risks before they impact your practice.
Tailored Solutions
Every audit is customized to fit your specific practice needs and challenges.
Why Choose Us for Billing Audits?
Practice Claim is not merely a billing company but we are your partners in making financial success out of your business. Here’s why healthcare providers choose us!
Experienced Professionals
Certified billing and coding specialists with extensive healthcare expertise
Advanced Analysis
In-depth auditing methods for accurate, data-driven insights
Customized Service
Audit solutions tailored to your practice’s unique needs
Strict Confidentiality
HIPAA-compliant processes that safeguard your information
