web picture 5WHAT IS A BILLING AUDIT?

Billing errors can reduce a practice’s revenue by up to 30%, which can translate into as much as $50,000 in lost revenue per provider. Whether it’s inaccurate or inefficient billing, errors can affect your practice’s bottom line. A billing audit provides a review of billing standards and helps correct billing oversights.

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IMPROVE THE FINANCIAL HEALTH OF YOUR PRACTICE

We help you review your practice’s coding and documentation to reduce your risk of compliance violations and help maximize your reimbursements.

 

WHY DO I NEED BILLING AUDIT SERVICES?

Our billing audit experts can analyze your billing and coding procedures and identify incorrect billing patterns in order to:

  • Improve Your Earnings – identify lost revenue
  • Meet Billing Standards – ensure appropriate payment and compliance
  • Check Internal Processes – assess the accuracy of documentation
  • Check for Errors – verify coding and billing support
  • Provide Peace of Mind – protect your practice from legal and financial risk

 

BENEFITS TO PROVIDERS:

  • Ensures proper codes are being billed to governmental agencies and insurance carriers
  • Protects against fraudulent claims and billing activity
  • Identifies and corrects problem areas before payors challenge inappropriate coding
  • Helps prevent governmental investigational audits
  • Correct undercoding and code overuse for documented procedures
  • Identifies reimbursement deficiencies and opportunities

 

HOW HEALTHARCH CAN HELP

CHART / ENCOUNTER DOCUMENTATION AUDITS

We review the encounter documentation to determine if it supports the billing codes. A minimum of five random encounters per provider will be reviewed unless discrepancies show the need to view more.

Deliverables:

  • Scheduled visits for audit review
  • Completed audit sheets and summary reports by provider and an organization audit summary report
  • Final meeting for presentation and review of audit and summary report per provider

 

INTERNAL AUDIT TRAINING

One-on-one chart audit review training on:

  • Selecting and determining an audit tool
  • Reviewing encounter documentation
  • Determining encounter status (correct, miscoded, undercoded and/or overcoded)
  • Documenting inconsistencies and recommendations

 

Contact HealthARCH today for your FREE initial consultation.

To learn more about our services, email HARevenueCycle@ucf.edu or call 407.266.4000.