Audit Services
Audits that find revenue and reduce risk
Audits are performed by credentialed coders and auditors against AMA, AHA and CMS guidelines in force at the date of service. Every audit ends with written findings, recommendations and a corrective plan, plus the education needed to stop the same issue recurring.
Revenue Cycle Audits
- Practice billing audits
- Office visit level audits
- Denial audits
- A/R audits
- Credentialing status audits
- Revenue integrity reviews
Medical Record Audits
- Coding accuracy audits
- Medical record documentation audits
- Medical necessity review
- Upcoding and unbundling review
- Risk adjustment record audits
- RADV audit support
After the Audit
- Written findings and risk rating
- Recommendations
- Corrective action plan
- Provider and staff education
- Re-audit to confirm correction
- Reporting to practice leadership