Billing Auditing

Auditing charges for physicians and billing practices are demanding, however they will improve claims management process, revenue and consent.

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Key Features

Maximum reimbursement of your claims
Quick and efficient billing cycle
Significant reduction to your operational costs
Round the clock medical billing process
Scalable and customer focused billing solutions
Reduce Cost increase profit

Overcome financial and operational challenges

Denials and appeals management services to help group practices reduce denials below 10%.
Medical coding, auditing, and compliance services by AHIMA/AAPC certified experts
Resolution of underpayments arising due to contract or documentation issues
Close coordination with the centralized billing office (CBO) to quicken tasks
Patient financial services and CDI support provided
Workflow and system management solutions to ensure your claims submission process is in line with payer compliance updates

Expert Hospital Billing Teams

Med Care workflow, CMRS certified billers, support for transitioning to value based payments and an array of powerful Billing tools

Reduction in Account Receivables

Super-charge your financial decision-making with our practice analysis report.

First Pass Claim Acceptance Rate

We improve the bottom lines of companies and remove revenue blocks such as claim rejections and billing errors.

What is Billing Auditing?

Billing auditing is the process of reviewing and verifying the accuracy of medical billing and claims. This can include reviewing patient records and billing codes to ensure that the services billed for were actually provided and that the codes used are accurate and supported by the documentation. Billing auditing can help identify and correct errors or discrepancies in the billing process, and can help ensure that healthcare providers are paid accurately and promptly for their services.

There are several types of billing audits that can be conducted:

Pre-payment audits: These audits are conducted before payment is made on a claim. They are used to verify that the claim is accurate and meets all requirements for payment.
Post-payment audits: These audits are conducted after payment has been made on a claim. They are used to identify and recover overpayments or to identify and correct errors that were not identified during the pre-payment audit process.
Compliance audits: These audits are conducted to ensure that a healthcare provider is in compliance with billing regulations and guidelines.

Billing audits can be conducted internally by a healthcare provider’s staff, or they can be outsourced to a third-party billing audit firm.

How can reduce cost in Medical Billing service ?

There are several ways to reduce costs in medical billing services:

Use technology to automate the billing process: By using electronic health records (EHRs) and practice management software, you can streamline the billing process and reduce the amount of time and money spent on manual tasks.
Negotiate with payers: If you have a high volume of claims with a particular payer, you may be able to negotiate a better reimbursement rate.
Review your billing process: Look for opportunities to improve efficiency and reduce errors in the billing process. This can include training staff on coding and billing best practices, and implementing quality control measures to catch mistakes before they result in claim denials.
Consider outsourcing: If you don’t have the time or resources to handle billing in-house, you may be able to save money by outsourcing your billing to a medical billing service.
Stay current on billing regulations: Make sure you are aware of any changes to billing regulations that may affect your practice, and adjust your billing processes accordingly to avoid costly errors.

How can increase profit in Medical Billing service ?

There are several ways to increase profits in a medical billing service:

Increase volume: One way to increase profits is to handle more claims. This can be achieved by expanding your client base or increasing the number of claims you handle for existing clients.
Improve efficiency: By streamlining your billing processes and reducing errors, you can process claims more quickly and increase your capacity to handle more claims.
Negotiate higher reimbursement rates: If you have a high volume of claims with a particular payer, you may be able to negotiate a higher reimbursement rate, which can increase your profits.
Offer additional services: You can increase profits by offering additional services such as insurance verification, patient billing, and eligibility checks.
Invest in technology: By using electronic health records (EHRs) and practice management software, you can improve the efficiency of your billing processes and reduce the amount of time and money spent on manual tasks. This can free up resources that can be invested in other areas of the business to drive growth.

why outsource medial billing ?

There are several reasons why healthcare providers may choose to outsource their medical billing:

Cost savings: Outsourcing medical billing can be more cost-effective than handling billing in-house, especially if you don’t have the staff or resources to handle billing efficiently.
Expertise: Medical billing services typically have specialized staff with experience and expertise in coding, billing, and collections. This can help improve the accuracy and efficiency of the billing process, leading to higher reimbursement rates and fewer claim denials.
Time savings: Handling billing in-house can be time-consuming, taking staff away from other important tasks. By outsourcing billing, you can free up time and resources to focus on providing high-quality care to your patients.
Flexibility: Outsourcing allows you to scale your billing services up or down as needed, giving you flexibility to meet the changing needs of your practice.
Regulatory compliance: Medical billing can be complex, with many rules and regulations to follow. By outsourcing billing, you can ensure that your practice is in compliance and avoid costly errors or penalties.