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.
Intent Health 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.
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What are Medical Billing Audits?
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.
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.
How does Intent Health Medical Coding Audit Company help?
Intent Health 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 Intent Health 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.
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.
Clinical Audits
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.
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 improve your cash flow by auditing your aged claims for errors and refiling denied claims with our collection aging audit.
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.
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.
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.
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.
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.
We Optimize Your Medical Billing and Coding Processes
Internal Audit
We conduct an in-depth review of your internal processes and documentation to ensure that they meet the industry standards. We also provide recommendations to help providers improve their performance.
External Audit
We perform an independent assessment of your claims and payments from third-party payers like Medicare and Medicaid. We resolve billing disputes, recover underpayments, and work with aged receivables.
Prospective Audit
We evaluate your claims before they are submitted to the payers, to ensure that they are accurate, complete, and compliant. We help you prevent any denials, rejections, or delays in reimbursement.
Retrospective Audit
We analyze your claims after they have been processed by the payers, to identify any errors. We help you correct any mistakes, appeal any denials, and optimize your revenue cycle.
Comprehensive Audit
We provide a holistic approach to auditing your entire medical practice. We examine all aspects of your operations, from coding and billing to documentation and compliance.
Missing Money? We’ll Find It.
Our specialized audits dig deep into your claims data and billing records to recover improper payments and missed revenue.
Our Coding Audit Service Promises Billing Compliance: Here's How?
Let us shed some light on them!
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.
Improving your charge capture accuracy
Another essential element we examine is charge capture. We validate that all services rendered and supplies used are captured in the billing at the appropriate rates. Missed charges lead to lost revenue. Our auditors diligently compare the documentation in the medical record to the itemized billing statement.
Auditing your billing documentation for compliance
Thorough documentation review is also part of our billing audit process. We assess whether the medical record provides clear, consistent documentation that supports the coded claims. Our team flags any documentation issues like vagueness, inconsistency, missing signatures, or lack of medical necessity.
Performing audits of provider-payor contracts
Our Coding Audit Services Promise Billing Compliance: Here's How?
Charge Capture Analysis Report
This report analyzes your charge capture process to identify areas of revenue leakage. We examine front-end charge capture issues that lead to missed charges and lost revenue.
Denials Analysis Report
By analyzing your denials data, we identify the leading denial reasons, whether appeals are warranted, and opportunities to prevent future denials.
Coding Audit Report
Our coding audit examines a sample of charts to identify coding errors and improvement opportunities. The audit report details coding accuracy rates and the financial impact of errors.
Compliance Risk Assessment Report
This assessment gauges your compliance risk levels in areas such as coding and billing documentation, Medicare regulations, and HIPAA. We provide a scorecard measuring your risk exposure.
Revenue Cycle Performance Benchmarking Report
Our benchmarking report compares your metrics to industry averages so you can pinpoint areas for improvement. We examine leading indicators such as first-pass resolution, net collection rate, A/R days, and more.
Get Post-Audit Reports Delivered Straight Into Your Inbox
Some other areas we examine are proper application of insurance payor contracts and fee schedules as well as accuracy of data entered into the billing system. Invalid fee schedules and data entry errors can sabotage reimbursement.
ENHANCE YOUR DATA QUALITY AND COMPLIANCE
Medical Chart Reviews and Validations
Intent Health has certified doctors, auditors, and clinicians who can perform various types of reviews on your medical charts.
Medical Chart Reviews
Our clinical auditors performs various types of medical chart reviews, such as inpatient, outpatient, radiology, DME audit, mammography audit, etc.
Risk Adjustment Data Validation
We can verify the accuracy of your risk adjustment data, such as diagnosis codes, hierarchical condition categories (HCCs), and risk scores.
Data Abstraction Review
We extract and abstract relevant data from your medical charts, such as diagnosis, procedures, medications, lab results, and quality measures.
Charge Validation
We review your charge capture process to ensure the charges billed to the payers are accurate and supported by the documentation in the medical chart.
Are your claim submissions accurate?
Let us do a free health check for your practice.