Medical Auditing Services
Medical Auditing Services
What do our medical auditing services in USA cover?
Coding Compliance Audits
We conduct comprehensive audits of medical coding to ensure accuracy, completeness, and compliance with industry standards and regulations.
Compliance Audits
We conduct audits to assess compliance with regulatory requirements, including HIPAA, OSHA, and CMS regulations.
Documentation Audits
We review medical records and documentation to ensure that they are complete, accurate, and compliant with regulatory requirements.
Risk Management Audits
We identify areas of risk in healthcare organizations and provide recommendations for risk mitigation and management.
Revenue Cycle Audits
We analyze revenue cycle processes to identify opportunities for improvement and optimize revenue management.
Fraud and Abuse Audits
We investigate potential cases of fraud and abuse and help healthcare organizations implement strategies to prevent and detect fraudulent activity.
The Features
- Comprehensive and customized auditing approach tailored to the specific needs of each healthcare organization.
- Experienced team of auditors with extensive knowledge of industry standards and regulations.
- Advanced auditing techniques and tools to identify areas of risk and provide actionable recommendations.
- Regular reporting and communication to keep healthcare organizations informed of audit findings and recommendations.
No Fee Guarantee
If we do not obtain a claim or recovery, you do not pay.
Extensive Experience
HIPAA Compliance
Clean Claims on Submission
Satisfied Clients
Increase In Claims
What Makes Us Unique in Medical Auditing
FAQs
Medical auditing is the process of reviewing medical records, billing codes, and other documentation to ensure compliance with regulatory standards and industry best practices. It is important for healthcare organizations in the USA because it helps them identify areas of risk, improve revenue cycle management, and reduce compliance risks.
The frequency of medical audits depends on the size and complexity of the healthcare organization. Generally, healthcare organizations should conduct audits at least once per year. Key areas that should be audited include medical coding, documentation, revenue cycle processes, and compliance with regulatory requirements.
Medical auditing helps healthcare organizations improve revenue cycle management by identifying areas of inefficiency and opportunities for improvement.
Healthcare organizations can ensure they are working with a reputable auditing firm by conducting research, asking for references, and verifying certifications and qualifications.
for Additional Information
Get In Touch
30 N GOULD ST, SHERIDAN, WY 82801