Medical Billing Audit Services
What Are Medical Billing Audits?
Medical billing audits ensure healthcare providers’ billing and coding processes are accurate and compliant. Certified auditors review patient charts and billing records to verify correct medical codes that align with diagnoses and treatments. Like health checkups, audits catch issues early, preventing claim denials and financial penalties.
How an Medi Bill Wise Help
What Are Medical Billing Audits?
Medical billing audits ensure healthcare providers’ billing and coding processes are accurate and compliant. Certified auditors review patient charts and billing records to verify correct medical codes that align with diagnoses and treatments. Like health checkups, audits catch issues early, preventing claim denials and financial penalties.
Check our Medical Billing Audit Solutions
Medical Coding Audit
We do medical coding audits for all types of medical records, including inpatient, outpatient, profee, and home health.
Medical Billing Audit
We do medical billing audits for all types of claims, including Medicare, Medicaid, commercial, and self-pay.
Government & Payor Mandated Audit
We prepare providers for and respond to government and payor mandated audits, such as TPE, RAC, OIG, DMEPOS, and Medical Necessity.
Clinical Audits
We conduct internal and external clinical audits to assess the quality and safety of your patient care and clinical outcomes.
Collection Aging Audit
We improve your cash flow by auditing your aged claims for errors and refiling denied claims with our collection aging audit.
Auditing Medicare Patient Charts
We audit Medicare patient charts, ensuring every dollar billed is justified and compliant, so your practice gets fully and fairly paid.
Our Coding Audit Service
Promises Billing Compliance:
Here’s How?
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Auditing your coding accuracy
Assessing coding accuracy is a principal objective of our medical coding audit company. We thoroughly investigate medical charts to ensure codes mirror the diagnosis, completed procedures, and complexity level.
Improving your charge capture accuracy
Another essential element we examine is charge capture. We validate that all services rendered and supplies used are captured in the billing of the appropriate rates.
Auditing your billing documentation for compliance
Thorough documentation review is also part of our billing audit process. We assess whether the medical record provides clear, consistent documentation that supports the coded claims.
Performing audits of provider-payor contracts
Another core area we examine are proper application of insurance payor contracts and fee schedules as well as accuracy of data entered into the billing system.
Enhance Your Data Quality and Compliance
Medical Chart Reviews and Validations
Medi Bill Wise has certified doctors, auditors, and clinicians who can perform various types of reviews on your medical charts, such as:
Medical Chart Reviews
Our clinical auditors perform various types of medical chart reviews, such as inpatient, outpatient, radiology, DME audit, mammography audit, etc. We assess the quality of the care provided, the compliance with the coding and documentation standards, and the adherence to clinical guidelines.
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Your Trusted Partner in Medical Billing Excellence, Maximized Revenue, Smarter Healthcare Solutions.
About Us
Contact Info
- +1 (815) 551-5519
- Info@medibillwise.com
- 1001 S. MAIN ST. STE 600, KALISPELL, MT 59901
