Medical Audit Services

Get access to simplified and error-free medical audit services and the latest billing tools for higher claims acceptance, faster reimbursements, and more revenue.

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Revenue Cycle management Audit Process- Trusted healthcare experts

Medical Billing & Coding Hub-Best Medical Billing Audit Compliance For Private Practices/Solo Providers/New Setup/ New Practice

We are the Top rated professional Medical billing company working in California to ensure an effective workflow with end-to-end Revenue Cycle Management with our Audi team which fulfil the needs of the Provider due to our technology base trusted solutions.

Medical Billing & Coding Hub Medical Billing Company offer over 40 Medical Billing Specialties to all Physicians/solo Provider/Practice owner. The proven track record of efficient billing solutions which lead to timely reimbursements make us one of the #1 Medical Billing Company in USA. From independent practices to hospitals, we offer customized billing solutions
Medical Billing & Coding Hub committed to your success. So Medical Billing & Coding Hub conducts a fool proof Coding Audit of every practices whether they are small practices/Large practices/Solo providers. Medical Billing & Coding Hub believes in Accuracy so our Certified Medical Coders/Analysis practice Audit then we we may able to analysis the practice health afterword our billing team work on practices claims submission and follow up.

Medical Practices Who Can Use Our Audit Services

Our Expertise

Our multiple years of experience which we have gained from working for world-class Cardiology facilities and healthcare will help you with improving your revenue cycle. We discover the potholes in your billing process and suggest effective ways to fill them so that your journey towards successful healthcare practice and increased revenue is smooth. We do the needful for you so that you may shift your entire focus to patient care and perform administrative tasks.  

Our Audit Services

Our comprehensive one stop shop platform offers a suite of services, including Billing, Credentialing and Patient Help Desk-Just to name a few.

Practice Audit

Practice overall performance for decision making process.

Credentialing

Fast and easy in-network enrollment with PPO, HMO, DMO and Medicaid.

Coding

This will allow for coding accuracy, clinical documentation, compliance and insurance contractual agreements.

Billing

Collect what you're rightfully owed from insurance companies.

Insurance Verification

Less denials and more reimbursements at incredibly affordable prices.

Hippa compliance

Friendly and effective strategies and best practices to get outstanding patient balances paid.

Our Medical Billing Process- Audit compliance

Methodology Planning: In the first stage, our auditors conduct internal or external reviews of medical records for coding accuracy, policies, and procedures to ensure an organization runs efficiently.

Develop Effective Audit Strategy : After the medical claims review, our auditor will determine whether we will use a prospective or retrospective strategy.

A prospective strategy helps identify and correct problems before sending claims to the insurance company. During this strategy, the auditor will review the documentation along with the procedure codes that would have been billed to the insurance. This allows for inconsistencies to be identified but typically delays the billing process. Retrospective Strategy is a post-payment review to evaluate whether services that were previously reported to insurance were reported appropriately and consistent with the insurance policies and procedures. To ensure proper medical billing, the auditor reviews the documentation, claim forms, and sometimes the explanation of benefits (EOBs).

Examine Records In EHR : At this stage of our company's standard process, our auditors check billing reports, charges, codes, and other censorious records to maximize cash flow and reduce claim denials. We follow the following recommendations at this stage. We ensure that your clinic has delivered services as agreed with the relevant doctor's treatment plan. Our team performs detailed audits to see if the services provided to the patient are noted in the records. We examine claim denials caused by inappropriate coding or insufficient documentation. . Our auditors will compare if the CPT codes were imbursed according to contract rates and no reimbursement deficiencies.

Rectifying audit Contest : In the regulatory compliance practice revenue cycle management process, If the detailed report identifies any issue that could result in errors and claim denials, our company auditors identify areas to correct them within the shortest period. If our client disagrees with the audit results, they can challenge the findings within 60 days.

Streamline Your Practice -Maximum Reimbursement

Hospitals, healthcare facilities, university medical centers, and healthcare workers are under pressure to boost the standard of treatment while still facing reduced reimbursement, greater risk, and marginal pressure. Maximizing the business cycle's productivity and enhancing billing, coding, and accounts receivable for multiple healthcare institutions are essential to meeting health policy objectives. With our revenue cycle management, you can meet the needed demands of the industry.

Medical Billing & Coding Hub Healthcare Services promises to offer the best billing services, focusing on almost every medical billing or patient cycle aspect. We work to ensure the most available timely compensation for our patients. The quicker the invoice can be prepared, the faster and simpler the compensation is provided. With this in mind, we're running 24x7, and we've committed billers and billing experts to work while you sleep.

Medical Billing & Coding Hub customer can get

Up to

Increase in Revenue
0 %
Net Collection Rate
0 %
Days in AR
< 0
Hour Claim Turnaround
0

Reduce your administrative burden with our experts

Well trained and always stays updated about the recent changes in the Cardiology specialty.

Successful in processing medical claims with both commercial insurance companies and federal payers like Medicaid and Medicare.

Expert in eliminating any risk of losses, reducing costs and helping you achieve improved clinical & operational efficiency.

Identify Where You Are Losing Revenue

Our claims audit can help you make necessary corrections to your medical claims before payers challenge any inappropriate coding, thus expediting your reimbursement process.
Choosing our team to conduct medical claim audits for your practice assures that your coding and processes are appropriate. It also assures you receive a full and complete reimbursement by all applicable payers.

Our claims auditing team will verify:
• Appropriate procedural codes were applied.
• Appropriate ICD-9 codes were applied.
• Appropriate usage of any modifiers.
• Appropriate linkage of diagnosis to procedure.
• and more based on information supplied by claims.
In addition to auditing claims for errors prior to submission, our claims specialists can provide an audit of your paid claims to verify full reimbursement. Our team will compare your explanation of benefits (EOB’s) against your paid claims to verify that you have been fully reimbursed for your services.
Each provider and/or practice is unique in their particular needs and expectations from a claims audit, and as such we have devised a system that allows us to tailor our extensive team’s knowledge and attention to detail, to fit the needs of any provider, large or small.
Contact us today to see how we can assist you in decreasing denials, and increasing revenue.

GET YOUR FREE REVENUE CYCLE MANAGEMENT ASSESSMENT

Evaluate your Practice Performance

We offers free revenue cycle assessments (RCAs) to help large and small practices to work smarter, not harder. Are you performing to your full potential?

Frequently Asked Questions

Our company maintains security and compliance measures keeping emails and passwords encrypted to protect the content and attachment of the email when it reaches unintended recipients.

Periodic reporting about payer denials is maintained to monitor and record patterns in potential billing and coding errors. Moreover, it guarantees that proper follow-up is taken. These reports can also be used for account analysis.

 

Medical Billing & Coding Hub experienced training team keeps medical auditors updated about the changes and updates in existing regulations by conducting training sessions periodically.

OIG, the Centers for Medicare & Medicaid Services, the Department of health & human services, and AAPC are included as the compliance reference resources because these enterprises provide educative articles, auditing software, notifications about upgrades, and compliance concepts.

The process involves the assessment of the claims ensuring they are submitted in compliance with Local and National Coverage Determination and insurer guidelines.