Medical Billing & Coding Audit Services
Be On The Same Page with Your Payers & Patients!
You work hard to provide quality care to your patients, but are you getting paid what you deserve? Errors in medical billing means lost revenue, denied claims, and legal troubles. Therefore, medical billing audit services by a medical coding audit company become a necessity. EdgeRCM offers healthcare coding and compliance audit services for healthcare providers. Our experienced billing auditors review a provider’s billing codes for accuracy, compliance, and optimization with real-time issue resolution. So don’t put your practice at risk. Get in touch with us today and let us help you meet medical billing compliance. Our medical billing consulting group provides the strategic guidance and tactical support needed to optimize billing processes, technology, and staff skills. With our consultancy solutions, every practice is positioned to thrive through improved medical billing.
Schedule Free Consultation
What are Medical Billing Audits?
Audits are important as they reveal improper coding, incomplete documentation, missed charges, and noncompliance with reimbursement guidelines. This helps strengthen a provider’s revenue cycle by correcting errors proactively before they can lead to denied claims or penalties for incorrect billing. Regular comprehensive audits are advantageous as they ensure proper coding, completeness of records, optimal reimbursement, compliance with payer policies, and overall financial health.
Medical billing and coding audits are necessary checkups to ensure a provider’s billing claims and coding documentation meet medical billing compliance. Certified billing auditors inspect patient charts and billing records to guarantee the use of correct codes that match conditions and care. Like routine physicals catching health problems early, audits diagnose issues in billing, allowing providers to correct course.
How does EdgeRCM Medical Coding Audit Company help?
EdgeRCM works as a professional medical billing audit services company. Medical billing and coding is complex work full of pitfalls for error, calling for vigilant oversight. Therefore, our medical coding audit and compliance services provide this monitoring, serving as a safety net that preserves the integrity of the entire medical claims billing process.
The experienced billing auditors at EdgeRCM, take a magnifying glass to documentation, coding choices, and the submitted claims to unveil inaccuracies and illuminate opportunities for billing cycle improvement. Our findings steer healthcare facilities toward error-free medical coding and full revenue capture.
Just as crucial, our high quality medical billing audit program heads off billing compliance violations and fraud that lead to fines, penalties and damaged integrity. Our audit service is thus a fundamental pillar upholding clinical, financial, and regulatory excellence.
Check our Medical Billing Audit Solutions
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
Medical Billing Audit
We do medical billing audits for all types of claims, including Medicare, Medicaid, commercial, and self-pay.
Government & Payor Mandated Audit
We prepare providers for and respond to government and payor mandated audits, such as TPE, RAC, OIG, DMEPOS, and Medical Necessity.
Clinical Audits
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
Collection Aging Audit
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
Auditing Medicare Patient Charts
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
Are you in the dark about the quality of your medical records?
Let us shed some light on them!
Your Billing Problems and Our Auditing Solutions
Inaccurate billing and coding practices cost medical practices big. Denied claims lead to lost revenue. Backlogs lead to cash crunches. Errors lead to audits and penalties. Our medical billing and coding audit service sheds light on what’s broken in your workflows. After a comprehensive analysis of your people, processes and technology, we deliver specific recommendations to maintain compliance for a better-functioning revenue cycle.
Billing Errors
Affect the financial stability, cash flow, profitability, and sustainability of the healthcare organization.
Clean Billing Claims
With our comprehensive billing audit, we thoroughly examine each claim to verify correctness, securing maximum appropriate reimbursement to maintain financial health and endurance of your healthcare institution.
Coding Errors
Lead to claim denials, loss of revenue, overcharges, underpayments, patient dissatisfaction, and legal actions.
99% Claim Acceptance
We deploy advanced NLP and machine learning techniques to analyze medical records and catch coding mistakes, optimizing reimbursement and circumventing claim denials down the line.
Compliance Issues
Result in penalties, fines, audits, investigations, lawsuits, sanctions, and exclusion from federal health programs.
Meet Billing Compliance
Our robust billing analytics engine identifies trends, outliers and red flags in real-time, allowing for targeted audits to eliminate compliance risks and avoid government scrutiny.
Reimbursement Cuts
Could force healthcare providers to reduce staff, limit services, close practices, or accept fewer Medicare patients.
Maximum Reimbursements
Our proprietary AI-powered billing audit system analyzes your claims data to identify missed revenue opportunities and compliance risks, ensuring every penny is captured before reimbursement cuts hit your bottom line.
Check our Medical Billing Audit Solutions
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
EdgeRCM Auditing Solutions To Date
1,500 +
Satisfied Providers
30 k+
Audits Performed
90, 779
Coding Errors Resolved
$56,93, 122 +
Lost Revenue Recovered
Our Coding Audit Service Promises Billing Compliance: Here’s How?
Auditing your coding accuracy
Assessing coding accuracy is a principal objective of our medical coding audit company. We thoroughly investigate medical charts to ensure codes mirror the diagnosis, completed procedures, and complexity level. Proper coding is vital for correct reimbursement and adherence to guidelines. Our audits identify any upcoding or undercoding issues and recommend remedial actions. With our assistance, doctors can have confidence their coding satisfies standards and captures the total value due.
Auditing your coding accuracy
Assessing coding accuracy is a principal objective of our medical coding audit company. We thoroughly investigate medical charts to ensure codes mirror the diagnosis, completed procedures, and complexity level. Proper coding is vital for correct reimbursement and adherence to guidelines. Our audits identify any upcoding or undercoding issues and recommend remedial actions. With our assistance, doctors can have confidence their coding satisfies standards and captures the total value due.
Auditing your coding accuracy
Assessing coding accuracy is a principal objective of our medical coding audit company. We thoroughly investigate medical charts to ensure codes mirror the diagnosis, completed procedures, and complexity level. Proper coding is vital for correct reimbursement and adherence to guidelines. Our audits identify any upcoding or undercoding issues and recommend remedial actions. With our assistance, doctors can have confidence their coding satisfies standards and captures the total value due.
Auditing your coding accuracy
Assessing coding accuracy is a principal objective of our medical coding audit company. We thoroughly investigate medical charts to ensure codes mirror the diagnosis, completed procedures, and complexity level. Proper coding is vital for correct reimbursement and adherence to guidelines. Our audits identify any upcoding or undercoding issues and recommend remedial actions. With our assistance, doctors can have confidence their coding satisfies standards and captures the total value due.
Our Coding Audit Services Promise Billing Compliance: Here's How?
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
KPI Dashboard
Get visibility into key performance indicators such as copays collected and accounts receivable per payer.
Enhance Your Data Quality and Compliance
Medical Chart Reviews and Validations
EdgeRCM has certified doctors, auditors, and clinicians who can perform various types of reviews on your medical charts, such as:
Medicare Billing Services
Medicare billing is complex, but profitability is simple with our consultants. We combine billing expertise with practice-specific revenue solutions. The result? Maximum, hassle-free Medicare reimbursements. Let us design a roadmap to financial success for your practice.
Provider Enrollment Consultancy
BellMedEx’s superior medical billing consulting service knows the difficulties of provider enrollment firsthand. Therefore, we aid practices in joining insurance networks, steering applications, credentialing, and payor contract negotiations. We target plans benefiting practice and patients equally, allowing stable growth and success. Our aim is your prosperity and peace.
Reimbursement Forms Filing Support
File claims confidently with our CMS reimbursement consultants. Our billing experts provide personalized guidance on CMS 1500 and UB-04 forms, code auditing, and timely submission. We optimize reimbursement by managing your CMS paperwork.
Consultation on EHR Adoption and Integration
As certified EHR implementation specialists, BellMedEx’s 24/7 medical billing consultants advise on system selection, data migration, and workflow redesign to facilitate seamless EHR adoption and electronic billing integration in your practice.
Are your claim submissions accurate?
Let us do a free health check for your practice.
