Medical Billing & Coding Audit Services
Be On The Same Page with Your Payers & Patients!
You dedicate yourself to providing quality care—but are you being reimbursed fairly? Errors in medical billing can result in lost revenue, denied claims, and even legal risks. That’s why medical billing audit services from a trusted medical coding audit company are essential.
FastMed offers comprehensive healthcare coding and compliance audit services for providers. Our skilled billing auditors ensure your billing codes are accurate, compliant, and optimized, with real-time issue resolution to protect your practice.
What are Medical Billing Audits?
Medical billing and coding audits are essential checkups to ensure that healthcare providers’ billing claims and documentation meet medical billing compliance standards. Certified billing auditors thoroughly examine patient charts and billing records to verify the accurate use of codes that match specific conditions and the care provided. Much like routine physicals that detect health issues early, audits identify billing discrepancies, enabling providers to make timely corrections.These audits are critical as they uncover improper coding, incomplete documentation, missed charges, and noncompliance with reimbursement guidelines. By addressing these issues proactively, providers can prevent denied claims and avoid penalties for incorrect billing. Regular and comprehensive audits help ensure proper coding, complete records, optimal reimbursement, compliance with payer policies, and overall financial health.
How does FastMedBilling Medical Coding Audit Company help?
FastMedBilling operates as a trusted partner for medical billing audit services, addressing the complexities and challenges of medical billing and coding. Errors in this intricate process can have significant consequences, making vigilant oversight essential. That’s where our medical coding audit and compliance services come in, acting as a safety net to uphold the integrity of your medical claims billing process.Our experienced billing auditors meticulously review documentation, coding decisions, and submitted claims to uncover inaccuracies and identify opportunities to enhance your billing cycle. These insights guide healthcare providers toward error-free medical coding and ensure full revenue capture.Equally important, our high-quality medical billing audit program helps prevent compliance violations and fraud that could result in fines, penalties, and reputational damage. By integrating our audit services into your practice, you establish a strong foundation for clinical, financial, and regulatory excellence.Check our Medical Billing Audit Solutions
Medical Coding Audit
We conduct detailed medical coding audits for all types of medical records, including inpatient, outpatient, professional fee (profee), and home health services.
Medical Billing Audit
Our medical billing audits cover all types of claims, including Medicare, Medicaid, commercial insurance, and self-pay, ensuring accuracy and compliance.
Government & Payor Mandated Audit
We help providers prepare for and respond to government and payor-mandated audits such as TPE, RAC, OIG, DMEPOS, and Medical Necessity audits.
Clinical Audits
Our internal and external clinical audits assess the quality and safety of your patient care and clinical outcomes, ensuring superior healthcare delivery.
Collection Aging Audit
We optimize cash flow by auditing aged claims for errors and refiling denied claims, providing a comprehensive solution with our collection aging audit.
Auditing Medicare Patient Charts
We review Medicare patient charts to ensure every billed dollar is justified and compliant, helping your practice achieve full and fair reimbursement.
Are you in the dark about the quality of your medical records?
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Claim Free Medical AuditYour Billing Problems and
Our Auditing Solutions
Inaccurate billing and coding practices can take a heavy toll on medical practices. Denied claims result in lost revenue, backlogs create cash flow issues, and errors invite audits and penalties. FastMedBilling's medical billing and coding audit services identify and address the root causes of these challenges.
Our team conducts a comprehensive analysis of your people, processes, and technology to uncover inefficiencies and compliance risks. We then provide tailored recommendations to fix what's broken, ensuring smoother workflows, improved compliance, and a healthier revenue cycle.
Get Free Audit ReportWe Optimize Your Medical Billing and Coding Processes
Internal Audit
Our in-depth review of your internal processes and documentation ensures alignment with industry standards. We provide actionable recommendations to help providers enhance performance and efficiency.
External Audit
We perform independent assessments of claims and payments from third-party payers like Medicare and Medicaid. Our services resolve billing disputes, recover underpayments, and address aged receivables to improve cash flow.
Prospective Audit
We evaluate your claims before they are submitted to the payers, to ensure that they are accurate, complete, and compliant. We help you prevent any denials, rejections, or delays in reimbursement.
Retrospective Audit
Our post-processing claim analysis identifies errors, enables corrections, and supports denial appeals, optimizing your revenue cycle and reducing financial leakage.
Comprehensive Audit
Our holistic auditing approach examines every aspect of your medical practice—from coding and billing to documentation and compliance—ensuring operational excellence and robust compliance.
Missing Money? We'll Find It.
Our specialized audits dive deep into claims data and billing records to recover improper payments and uncover missed revenue opportunities
Get Started For FreeOur Coding Audit Service Promises Billing Compliance: Here’s How?
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Auditing your coding accuracy
Assessing coding accuracy is a core objective of our medical coding audit services. We meticulously review medical charts to ensure codes accurately reflect the diagnosis, procedures performed, and complexity level. Proper coding is essential for appropriate reimbursement and adherence to regulations. Our audits identify upcoding or undercoding issues and offer actionable recommendations for correction. With our expertise, providers can be confident their coding meets industry standards and captures the full value of their services.
Improving your charge capture accuracy
Charge capture is another critical area we examine. We verify that all services provided and supplies used are accurately reflected in the billing at the appropriate rates. Missed charges can result in significant revenue loss. Our auditors compare the medical record documentation to the itemized billing statement, identify any overlooked charges, and recommend process improvements. By closing these gaps, we help maximize your reimbursement potential.
Auditing your billing documentation for compliance
Our billing audits include a comprehensive review of medical documentation to ensure it supports the coded claims. Clear, complete, and consistent documentation is essential to justify charges and withstand payer scrutiny. We flag issues such as vagueness, inconsistencies, missing signatures/credentials, or insufficient medical necessity. Our team provides practical guidance to enhance documentation practices, ensuring better claim defense and audit survival.
Performing audits of provider-payor contracts
We also focus on the correct application of insurance payor contracts and fee schedules, as well as data accuracy within billing systems. Errors in fee schedules or data entry can significantly impact reimbursement. Our audits verify compliance with payer contracts and identify areas for process improvement to enhance system accuracy.
Our Coding Audit Services Promise Billing Compliance: Here's How?
Get Post-Audit Reports Delivered Straight Into Your Inbox
We provide comprehensive, detailed reporting that gives you actionable insights into your coding and billing operations. Here are the essential reports available post-auditing:
Charge Capture Analysis Report
This report uncovers areas of revenue leakage by analyzing your charge capture process. It identifies front-end issues causing missed charges and revenue loss while offering specific recommendations to enhance charge capture accuracy and efficiency.
Coding Audit Report
Our coding audit evaluates a sample of charts to detect coding errors and highlight areas for improvement. The report includes coding accuracy rates, the financial impact of errors, and tailored educational recommendations for coders. Additionally, it features a risk analysis to prioritize auditing efforts effectively.
Denials Analysis Report
By examining your denials data, we identify common reasons for denials, assess whether appeals are viable, and provide strategies to prevent future denials. This report is designed to help you minimize denials and optimize revenue cycle performance.
Compliance Risk Assessment Report
This report evaluates your compliance risks across key areas such as coding accuracy, billing documentation, Medicare regulations, and HIPAA. It includes a scorecard measuring your risk exposure and a roadmap with actionable steps to enhance your compliance program.
Revenue Cycle Performance Benchmarking Report
Understand how your revenue cycle KPIs compare to industry standards. This benchmarking report examines critical metrics such as first-pass resolution rates, net collection rates, and accounts receivable (A/R) days, providing clear direction for performance improvement.
Medical Chart Reviews and Validations
FastMedBilling has certified doctors, auditors, and clinicians who can perform various types of reviews on your medical charts, including:
Medical Chart Reviews
Risk Adjustment Data Validation
Data Abstraction Review
Charge Validation
Medical Chart Reviews
Our clinical auditors conduct comprehensive medical chart reviews across various categories, such as inpatient, outpatient, radiology, DME (Durable Medical Equipment) audit, mammography audit, and more. We evaluate the quality of care, ensure compliance with coding and documentation standards, and verify adherence to clinical guidelines.
Are your claim submissions accurate?
Let us do a free health check for your practice.
Claim Free Medical Audit
At FastMed Billing, we understand the challenges that healthcare providers face in a fast-paced environment today. We specialize in offering comprehensive Revenue Cycle Management (RCM) services explicitly designed to streamline the entire billing process for healthcare providers. From accurate claim creation and submission to denial management, appeals, and payment posting, we take every step of your billing cycle with precision.
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