Medical Billing Audit Services

Services for Auditing Medical Billing | Compliance Audits

BilltexMD provides fail-safe solutions for auditing medical claims by integrating verified audit procedures, knowledgeable staff, and cutting-edge analytics technology.

BilltexMD's medical billing audit services systematically evaluate physician practices within a healthcare organization. The audit covers various components, but it predominantly focuses on elements related to the insurer reimbursement process. The goal is to assess compliance with regulatory authorities' regulations and guidelines concerning billing and coding implications for physician practices.

While your front office can conduct manual audits, it presents a significant challenge for them to comprehend and identify the numerous CPT codes for rendered services. Moreover, their partial awareness of procedural coding complexities within physician specialties leads to manual errors and typos. This, in turn, increases the likelihood of submitting inaccurate claims. Ultimately, medical providers find themselves grappling with revenue irregularities and losses, putting their organization at risk of thorough government audits.

How BilltexMD Medical Billing Audit Can Help Your Organization

Expert Professionals

BilltexMD boasts highly skilled and professional in-house billing auditors with years of experience in the medical field. Serving physicians across the United States, our experts leverage their extensive expertise to deliver reliable medical billing audit solutions for medical practices.

Audit Tool

When conducting medical record audits, an audit tool becomes indispensable. At BilltexMD, our auditors employ audit software to review records, generate audit reports, and assist in data analysis.

Expert Revenue Specialists

BilltexMD's practice revenue experts conduct a thorough analysis with auditors, applying a comprehensive practice revenue cycle process to assess the current financial health and operations of the practice. Our professionals scrutinize the entire process, identifying critical points and providing comprehensive solutions for resolution.

Clean Submission Approach

In the medical billing department, BilltexMD's practice revenue and audit experts audit claim rejections for medical practices, identifying deficiencies leading to denials. Upon careful review of denials, we resubmit the claims with corrective actions, ensuring maximum reimbursement.

Audit Analysis And Summary Report

We condense audit findings into a concise report, specifying correctly and incorrectly documented encounters, coding trends, and errors. Each error or risk area is labeled (e.g., CPT® code, payer, provider) with clear explanations and citations to standards.

Training Your Staff Members

Our auditors communicate findings, discussing risks and proposing corrective actions. Recognizing physicians' focus on patient care, we present reports to both physicians and front staff, outlining strengths and areas for improvement. If specific training is needed, we offer our expertise.

Medical Coding Compliance Auditor Services

Audits pinpoint potential errors, risks, and deficiencies in billing processes for swift resolution. Revenue cycle audits evaluate charge capture, claims submission, and denial management for enhancement opportunities. Tailored plans can enhance financial health, boosting healthcare provider revenues through billing accuracy. Additionally, billing reviews ensure regulatory compliance, preventing penalties. Regular audits detect and promptly correct potential violations, leading to cost savings, improved billing practices, and regulatory adherence for medical practices.

Start Growing Your Practice Now

The audit aids owners of practices, whether large or small, in identifying financial concerns. It offers customized Medical Billing Solutions to optimize practice cash flow and enhances revenue by identifying areas for improvement. The Medical Billing Audit provides a detailed account of errors in claim submissions, allowing practices to elevate to the next level.

We assure your highest satisfaction with the fastest turnaround and premier medical billing services.