Works with eloving changes in coding and compliance requirements. Make sure that correct coding is used at all times for financial health of clinics, doctors office and hospital
Collection aging reports are audited preciously, identify the gaps in coding, billing, payer followups, patient followups etc. Also, accurate recommendations will be provided to doctors office
Major part of denials happens due to poor credentialing and in-consistent prior authorization. Our audit team finds gaps and related revenue loss in past and recommends recovery strategy
Our pre-billing audit services help your practice to address coding issues effectively and prevent exposure to compliance risks. Pre-bill audits focus on DRG validation, POA indicators, and physician documentation practices.
Our post-billing audits services focus on DRG validation and can also incorporate a more extensive review of all codes. Identify under or over coding and timely re-submit it to address the issues.
Inpatient auditing services to review MS-DRG and APR-DRG validation for inpatient charts. Deliver comprehensive feedback that includes documentation and elements to code validation and optimization.