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Let us inspect your practice for revenue leakage.
At MedEx Care Billing, our Medical Audit services help healthcare providers ensure compliance, accuracy, and optimal reimbursement. We conduct thorough reviews of coding, billing, and documentation practices to identify errors, reduce denials, and mitigate audit risks.
Whether it’s a routine internal audit or a preparation for external review, our expert auditors provide insights that protect your revenue and enhance operational integrity.
We do medical coding audits for all types of medical records, including inpatient, outpatient, profee, and home health.
We do medical billing audits for all types of claims, including Medicare, Medicaid, commercial, and self-pay.
We prepare providers for and respond to government and payor mandated audits, such as TPE, RAC, OIG, DMEPOS, and Medical Necessity.
We conduct internal and external clinical audits to assess the quality and safety of your patient care and clinical outcomes.
We improve your cash flow by auditing your aged claims for errors and refiling denied claims with our collection aging audit.
We audit Medicare patient charts, ensuring every dollar billed is justified and compliant, so your practice gets fully and fairly paid.
Medical billing and coding audits are necessary checkups to ensure a provider’s billing claims and coding documentation meet medical billing compliance. Certified billing auditors inspect patient charts and billing records to guarantee the use of correct codes that match conditions and care. Like routine physicals catching health problems early, audits diagnose issues in billing, allowing providers to correct course. Audits are important as they reveal improper coding, incomplete documentation, missed charges, and noncompliance with reimbursement guidelines. This helps strengthen a provider’s revenue cycle by correcting errors proactively before they can lead to denied claims or penalties for incorrect billing. Regular comprehensive audits are advantageous as they ensure proper coding, completeness of records, optimal reimbursement, compliance with payer policies, and overall financial health.
Our clinical auditors performs 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 the clinical guidelines.
