Medical Audit services in Texas
Free Medical Billing Audit Services for your Texas Practice!
Types of Medical Billing Audit We Offer
At MED billing TX our expert auditors offer comprehensive medical audits to fit your billing needs and challenges. These are the types of medical billing audits we perform:
- Commercial payer Audits
- Federal Governments Audits
- Random Audits
- Comprehensive Audits
- Hybrid Audits
- Quality Improvement Audits
- Internal Audits
- External Audits
- Clinical Audits
- Prospective Audits
- Retrospective Audits
- Proactive and Reactive Audits
Our Medical Billing Audit Process
Pre-Audit Preparation
Initial Consultation- We conduct a thorough meeting with our healthcare client to understand their specific audit needs, goals, and expectations.
Documentation Collection- Next, we gather relevant billing, coding, and RCM documentation, including claims data, coding records, billing reports, and payer contracts.
Audit Planning
Scope Definition- We define the scope of the audit, including the specific areas of the revenue cycle to be reviewed and audit methodology to be applied.
Audit Schedule- We develop a timeline for the audit, including key milestones and deadlines for completion.
Data Analysis and Review
Claims Data Analysis- We analyze claims data to identify trends, patterns, and outliers that may indicate potential billing errors or compliance issues.
Coding Review- Coding practices are then reviewed to ensure accuracy and compliance with ICD-10, CPT, and HCPCS coding guidelines and payer requirements.
Compliance Assessment
Regulatory Compliance Review- Compliance with regulatory requirements such as HIPAA, Stark Law, and coding guidelines are reviewed to ensure adherence to legal and ethical standards.
Payer Compliance Analysis- Payer contracts and guidelines are assessed to ensure compliance with payer requirements and minimize the risk of claim denials.
Audit, Insights, and Analysis
Identification of Billing Errors- We identify billing errors, discrepancies, and potential areas of non-compliance based on the audit findings.
Root Cause Analysis- The root cause analysis of revenue leakage is conducted to understand the underlying causes and identify issues and develop targeted recommendations for corrective action.
Report Generation
Audit Report Compilation- We compile our audit findings, observations, and recommendations into a comprehensive audit report.
Report Presentation- The audit report is presented to the clients, and we discuss the insights, recommendations, and proposed actions plan for addressing the identified issues.
Follow-up and Implementation
Action Plan Development- After collaborating with the client we devise an action plan for addressing the identified billing, coding, RCM errors and discuss the roadmap of implementing the recommended improvements.
Follow-up Support- We provide thorough on-going support and guidelines to our clients. With our expert executives we make sure to streamline the billing and RCM back to the track while they focus on their core task of providing quality care.
Monitoring and Continuous Improvement
Performance Monitoring- Our experts implement the corrective actions and track progress towards achieving compliance and enhancing financial performance..
Continuous Improvement- The steps for continuous improvement are established and constant monitoring and evaluation is ensured to optimize billing, coding, RCM of healthcare practice.
Why Choose MED Billing TX for Medical Billing Audit?
At MED billing TX we take complete pride that our certified billers, coders, and RCM experts have the expertise and knowledge to uncover maximum revenue opportunities that help your practice claim maximum financial outcomes. With our comprehensive audit services we identify the potential issues and leakage in your revenue cycle while providing solid solutions to mitigate the denial risks. For accurate auditing services, expert support, and guidance look no further than MED Billing TX and partner with our team for efficient billing and faster revenue collection process.
Risk Mitigation Strategy
Optimization of Financial Performance
Transparency and Compliance
Reduced Cost and Personalized service
Meticulous Audit Reporting
Outsource Complete Audit Consultation Services and Support Today
Well, It’s time you get consultation and get a full audit of your practice to find out the loopholes and bottlenecks of the downhill revenue cycle.
Schedule a consultation with our auditors and find solutions specifically tailored to the challenges and goals of your practice.
Enhanced Patient Care
With a dedicated project manager your team gets more time to focus on its con-clinical, core tasks such as delivering quality care to its patients.
Post-Audit Training and Education
Once the audit is performed it’s time to overcome the shortfalls of your practice and train your staff about the regulatory compliance to avoid denials.
Physician-Focused
The primary focus of our experts is keeping its audit services physician centered to offer maximum benefits and support that are 100% accurate and transparent.
Enhancing Compliance and Quality Through Medical Billing Audit Services In Texas- Brief Case Study
- Lack of standardized documentation coding practices across specialties.
- Concerns regarding compliance with regulatory requirements and payer guidelines.
- Inefficiencies in billing processes leading to revenue leakage and claim denials
- Comprehensive Audit Assessment- our team conducted a thorough audit of the practice’s operations, including documentation, coding, billing, and compliance practices.
- Specialty-specific Review- we tailored the medical billing audit process to each specialty within the practice, ensuring focused assessment of specialty-specific documentation and coding practices.
- Compliance Analysis- we assessed the practice’s compliance with regulatory standards, identifying areas of non-compliance and potential risks.
- Revenue Cycle Evaluation- we evaluated the practice’s revenue cycle processes, identifying inefficiencies and opportunities for improvement to optimize revenue capture and reduce claim denials.
- Documentation and Coding Improvements- Our audit identified opportunities to standardize documentation and coding practices across specialties, leading to improved accuracy.
- Enhanced Compliance- The audit findings guided the implementation of targeted corrective actions to address areas of non-compliance, ensuring adherence to regulatory requirements and payer guidelines.
- Revenue Cycle Optimization- By addressing inefficiencies in billing processes identified during the audit the practice was able to streamline the revenue cycle operations, minimize revenue generation loopholes, and reduce claims denials.
- Improved Quality of Care- the audit process fostered a culture of quality and compliance within the practice, leading to enhanced patient safety and quality of care delivery.
Audit and Evaluate the Revenue Leaks of your Practice In Few Clicks
Uncover Maximum Revenue Collection with Our Medical Billing Audit Services
Integrated EHR and PMS Software
Custom Reports
Claims Process Analysis
Expert Professionals
Minimized claim Denials
Coding Accuracy Up to 99.5%
Make Data-Driven Decisions with Our Medical Audit Service
At MED Billing TX you get a full-service audit helping you save time, money, and effort of appealing claim denials while keeping in place advanced safeguards.
- Make Systemic Improvements
- Detect Revenue Leaks, Fraud and Abuse
- Reduce Denial Risks
Here’s What Our Customers Are Saying About Us
Choosing MED Billing TX for our medical audit needs was one of the best decisions we ever made for our practice. Their team’s expertise and attention to detail have exceeded our expectations. With their thorough audit process we have been able to identify the areas for improvement in our documentation and coding practices leading to enhanced compliance and patient safety. Highly recommend their services to any healthcare practice looking to optimize their revenue cycle process.
We’ve been partnering with MED billing TX for our medical audit needs, and we couldn’t be more satisfied with their level of services and assigned account executives. Their team’s professionalism and commitment to excellence are unmatched. With their help we have been able to maintain our compliance quality standards, deliver enhanced care to patients, and optimize our revenue collection process. If you are seeking reliable and comprehensive audit services, this medical billing, coding, RCM, and audit company is your go-to.
Working with MED Billing TX has been a game-changer for reducing denials as well as delivering professional care. We have outsourced most of our non-clinical duties to MED Billing TX, and are completely inspired with their transparent, and efficient billing, coding, RCM, and auditing services.
We contacted MED Billing TX for a full audit of our healthcare practice, as our practice was continuously facing bottlenecks, back-lash, and penalties due to non-compliance issues that we were unable to identify. Their team was efficient and expert enough to perform an immediate medical billing audit, scan and identify inaccuracy, provide insight and report on the errors and provide solutions to mitigate those risks for our Texas practice. Highly recommend their services.
Our decision to partner with MED Billing TX has been great so far because of their determination and knowledge of working on the details to reduce compliance and denial risks. It has helped us optimize our revenue collection process and minimize the loopholes in the billing cycle.
Frequently Asked Questions About Our Services
Why do I need a medical audit service for my healthcare practice?
What types of audits do you offer for healthcare practices?
Coding audits: Evaluation of coding practices to ensure accuracy and compliance with ICD-10, CPT, and HCPCS coding guidelines. Compliance audits: Assessment of practice operations to ensure compliance with payer requirements such as HIPAA, Stark Law, etc. Revenue audits: Analysis of billing and reimbursement processes to identify opportunities for revenue optimization and compliance.
How often should healthcare practices undergo audits?
What are the benefits of undergoing medical audits?
How do you ensure confidentiality and security during the audit process?
In-Depth Review by Certified Experts
Our team meticulously reviews medical records and accurate audits.
Identification of Coding Errors
We analyze coding practices to identify any errors or missed opportunities.
Denial Review and Appeal Assistance
Our auditors will review denied claims & identify the root causes of denials.
