Medical Billing Audit

Medical Billing Audit

Achieve 100% accuracy & completeness with CapMinds Aging and Coding Audit Services
Trusted By Slider
Trusted By 300+
Industry Leaders

Overview

Our aging and coding audit services help healthcare providers to reduce A/R days with our timely follow-up services. We align our services with your organization’s specific needs to effectively analyze and troubleshoot issues for performance improvements

Coding Audit

Satisfy evolving changes in coding & compliance requirements. Appropriate & error-free codes used for the financial growth of clinics, doctors' offices & hospitals

Collection Aging Audit

Identify the gaps in coding, billing, payer follow-ups, patient follow-ups etc. Accurate recommendations will be provided to doctors' offices

Credentialing & Pre-Auth

Denials happen due to poor credentialing & inconsistent prior authorization. We find gaps & related revenue loss in past and recommend a recovery strategy

Pre-Billing Audits

Pre-billing audit help practices address coding issues & prevent compliance risks. DRG validation, POA indicators & physician documentation practices

Post-Billing Audits

Post-billing audits focus on DRG validation & incorporate an extensive review of all codes. Identify under/over coding & make timely re-submissions

Inpatient Audits

Inpatient auditing review MS-DRG & APR-DRG validation for inpatient charts. Deliver feedback with documentation and elements to code validation & optimization

image 551

Common challenges in coding

  • Not coding to the highest specificity
  • No proper access to the provider
  • Usage of un-updated or current code sets
  • Missing documentation, Unbundling
  • Over-coding or under-coding

Why choose capMinds coding audit services?

  • Achieve the highest level of coding accuracy
  • Achieve financial and data quality goals
  • Improve billing integrity by optimizing end-to-end billing processes
  • Identify the overbilling of services from charge capture audits
  • Eliminate errors with up-to-date code sets
image 550

Empower your practice be future ready at every stage

Are you interested? Connect us today!

Awards & Certification

CapMinds is globally recognized for excellence in Healthcare IT security, regulatory compliance, responsive support, and service quality. Trusted by leading healthcare organizations, we uphold the highest standards to safeguard patient data, ensure uninterrupted operations & deliver solutions you can rely on.

HIPAA
ISO Certified
Leader Award 2
GDPR
Best Support
Top Trending
Leader Award

CapMinds Resources

Take a look at our latest blogs.

Medical Billing Audit: Everything You Need To Know

Top 4 Super Effective Types Of Medical Audit

The Best Things About Medical Coding Audits