Medical Billing Audit
Comprehensive Medical Billing Audit For Accurate, Compliant & Optimized Revenue
Our Medical Billing Audit service is designed to uncover inefficiencies, errors, and compliance issues within your billing process. Whether you’re facing denied claims, inconsistent reimbursements, or operational gaps, our audit helps identify the root causes and provides a clear roadmap to improvement.
We thoroughly analyze your billing workflow, coding accuracy, documentation quality, payer compliance, and financial performance ensuring your revenue cycle is running at its highest potential.
What Our Audit Covers
Coding Accuracy Review
We examine ICD-10, CPT, and HCPCS codes to ensure proper documentation and compliance. Incorrect or outdated codes are corrected to eliminate revenue leaks.
Charge Capture Analysis
We evaluate whether all billable services are being captured fully and accurately — preventing missed or underreported charges.
Claim Submission Workflow
Our team reviews your end-to-end claim submission process, identifying delays, errors, or inefficient steps impacting your cash flow.
Denial Pattern Identification
We track recurring denial trends and pinpoint the exact cause whether it’s eligibility, coding, documentation, or payer rules.
Documentation & Compliance Review
We ensure your documentation follows CMS and payer guidelines, reducing compliance risks and supporting accurate claims.
Payment Posting & Reconciliation Audit
We verify that payments are posted correctly, underpayments are identified, and all EOB/ERA data aligns with payer rules.
Why a Billing Audit Is Essential
A Comprehensive Audit Helps You:
- Increase reimbursements by identifying lost or missed revenue
- Reduce denials caused by coding or documentation issues
- Ensure complete compliance with federal and payer regulations
- Improve billing workflow efficiency
- Strengthen your overall revenue cycle
Outcome of Our Audit
You receive a detailed report with:
- Clear findings and identified errors
- Financial impact analysis
- Actionable improvement recommendations
- Corrective measures for long-term revenue optimization
Our goal is to ensure your revenue cycle is not just functional — but strong, compliant, and fully optimized.