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 can lead to lost revenue, denied claims, and potential legal troubles. That’s why medical billing audit services from a trusted medical coding audit company are a necessity.
Precision Medical Billing offers comprehensive healthcare coding and compliance audit services for healthcare providers. Our experienced billing auditors review a provider’s billing codes for accuracy, compliance, and revenue optimization, with real-time issue identification and resolution. Don’t put your practice at risk—get in touch with Precision Medical Billing today and let us help you achieve full medical billing compliance and improved financial performance.
What are Medical Billing Audits?
Medical billing and coding audits are essential evaluations that ensure a provider’s billing claims and coding documentation fully comply with medical billing regulations. Certified billing auditors thoroughly examine patient charts and billing records to confirm that the correct codes accurately reflect diagnoses, procedures, and the level of care provided. Much like routine medical checkups that identify health issues early, billing audits uncover potential problems before they escalate.
These audits play a critical role in identifying improper coding, incomplete documentation, missed charges, and noncompliance with payer reimbursement guidelines. By addressing these issues proactively, providers can strengthen their revenue cycle, reduce claim denials, and avoid penalties associated with inaccurate billing. Regular, comprehensive audits help ensure accurate coding, complete documentation, optimal reimbursement, adherence to payer policies, and long-term financial stability for healthcare practices.
How Does Precision Medical Billing Help with Medical Coding Audits?
Precision Medical Billing operates as a professional medical billing audit services company dedicated to protecting the accuracy and integrity of the medical billing process. Medical billing and coding are highly complex and prone to error, making vigilant oversight essential. Our medical coding audit and compliance services provide that critical monitoring, acting as a safety net that safeguards the entire medical claims lifecycle.
The experienced billing auditors at Precision Medical Billing take a detailed, in-depth approach to reviewing clinical documentation, coding selections, and submitted claims. This meticulous analysis uncovers inaccuracies, identifies compliance risks, and highlights opportunities to improve the billing cycle. Our audit findings guide healthcare organizations toward error-free coding and complete, optimized revenue capture.
Equally important, our high-quality medical billing audit program helps prevent billing compliance violations and fraudulent practices that can result in fines, penalties, and reputational damage. As a result, Precision Medical Billing’s audit services serve as a foundational pillar supporting clinical accuracy, financial performance, and regulatory excellence.
Check our Medical Billing Audit Solutions
Medical Coding Audit
We do medical coding audits for all types of medical records, including inpatient, outpatient, profee, and home health.
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
We conduct internal and external clinical audits to assess the quality and safety of your patient care and clinical outcomes.
Collection Aging Audit
We improve your cash flow by auditing your aged claims for errors and refiling denied claims with our collection aging audit.
Auditing Medicare Patient Charts
We audit Medicare patient charts, ensuring every dollar billed is justified and compliant, so your practice gets fully and fairly paid.
Are you in the dark about the quality of your medical records?
Let us shed some light on them!
Check our Medical Billing Audit Solutions
Facility Coding Service
Getting facility services paid isn’t easy at least, not without experts who know the codes. Precision Medical Billing’s medical coding department has the HCPCS expertise to get it right. We handle all your inpatient services the wheels, the rooms, the nursing and code them accurately. Contact us today to take advantage of our facility coding services.
Payer Specific Coding Service
Each payer has their own way of accepting codes. This can confuse doctors. But our coders know the rules of big payers. Like UnitedHealth, Cigna, and Humana. Our team works as per the guidelines for each payer’s codes. This way, claims process smoothly and doctors get paid without unfair cuts. Contact us today to avail coding solutions for your payer network.
General Practitioner Visits Coding Service
Getting paid for seeing patients—that’s what GP visits coding is all about. We ensure your claims get approved so the cash keeps flowing into your practice. Our expert coders know all the codes by heart, getting it right the first time, every time. Contact Precision Medical Billing today to learn more about our coding services for general practitioners.
HCC Coding Service
Hierarchical Condition Category (HCC) coding is a specialized field that relies on a risk-adjustment prediction model and involves more than 10,000 ICD-10 diagnosis codes. Our trained HCC coders are experts in the regulations governing this risk-adjustment model and use their knowledge to ensure that diagnosis codes are accurately assigned RAF scores for both commercial risk adjustment and Medicare Advantage risk adjustment.
Professional Fee Coding Service
The doctor sees the patient. The doctor orders tests. The doctor prescribes medicine. But then what? That’s where Precision Medical Billing comes in. Our pro fee coders ensure the doctor gets paid correctly. We make sure insurance companies reimburse fairly, and the patient receives an accurate bill—no surprises.
Offshore Coding Service
Do you want to save your medical coding budget? With Precision Medical Billing offshore coding service, medics receive high-caliber coding at a lower price point. We identify and develop coding talent overseas, where pay standards are more affordable. Your coding gets done for a fraction of the cost, following all HIPAA rules. Contact us today for offshore coding solutions.
Outpatient Coding Service
Outpatient coding is the medical coding process for patients who receive treatment without being admitted to the hospital for an extended stay. At Precision Medical Billing, our expert coders are proficient in the latest documentation guidelines for outpatient Evaluation & Management (E/M) visit codes.
Inpatient Coding Service
Inpatient coding is used for patients who require hospitalization and an extended stay. At Precision Medical Billing, our coders hold the Certified Inpatient Coder (CIC) credential, demonstrating expertise in abstracting information from medical records for ICD-10-CM and ICD-10-PCS coding. We also have extensive experience with Medicare Severity Diagnosis Related Groups (MS-DRGs) and the Inpatient Prospective Payment System (IPPS).
Our clinical auditors performs various types of medical chart reviews, such as inpatient, outpatient, radiology, DME audit, mammography audit, etc. We assess the quality of the care provided, the compliance with the coding and documentation standards, and the adherence to the clinical guidelines.
We can verify the accuracy of your risk adjustment data, such as diagnosis codes, hierarchical condition categories (HCCs), and risk scores. This can help you optimize your reimbursement, avoid penalties, and improve patient outcomes.
We extract and abstract relevant data from your medial charts, such as diagnosis, procedures, medications, lab results, and quality measures. We also verify the accuracy of data entry in your EHR or other systems.
Reduce Billing Claim Denials and Boost Your Medical Revenue Up to 30%
Claim denials are a major source of lost revenue for healthcare providers. They can result from errors in medical billing and coding. Precisio Billing medical billing consulting service prevents these errors by ensuring claim submission that’s compliant with payer rules and regulations.