Billing & Coding Audit

The Story Unfolds...

Recognizing the critical role of routine audits in maintaining the precision and efficiency of the revenue cycle, Health Tech Billing Solutions offers comprehensive audit services. Our audits extend beyond mere risk mitigation; they are a catalyst for revenue optimization and overall performance enhancement for medical practices. In addition to the identification and resolution of issues, our audits serve as an invaluable educational resource, illuminating the intricacies of medical coding and billing. We delve into coding quality to ensure utmost accuracy and, simultaneously, pinpoint areas of strength and weakness, equipping practices to establish a robust quality assurance process. With our audit services, we empower medical practices to navigate the complexities of their revenue cycle with finesse and precision.

Advantages Of Conducting Billing and Coding Audits

Optimized Medical Claims Performance

Health Tech Billing Solutions is steadfast in its commitment to assisting healthcare providers in the optimization of claim performance by effectively reducing the incidence of denials. Within medical practices, claim denials often surpass the 10% mark, posing a substantial threat to the financial well-being of healthcare organizations. Our dedicated approach revolves around the identification and resolution of potential issues that may culminate in denials, ultimately enhancing the efficiency and efficacy of their billing processes. With our expertise, we empower healthcare providers to navigate the complex landscape of claim management with precision and confidence, safeguarding their financial health.

Enhance Medical Billing

Health Tech Billing Solutions stands as a stalwart guardian of compliance, weaving a protective shield around healthcare providers to ensure unwavering adherence to industry regulations, including HIPAA, FCA, AKS, and Stark Law. Through meticulous medical billing and coding audits, we unearth and promptly rectify potential compliance issues, providing invaluable opportunities for risk assessment. In this vigilant pursuit, we act as a bulwark against fraudulent billing activity and spurious claims, bolstering the reputation and financial integrity of our clients. By conducting these audits, Health Tech Billing Solutions not only enhances the efficiency of billing and coding processes but also safeguards its clients from legal penalties and potential damage to their esteemed reputation.

Medical Practice Workflow Streamline

Audits wield a transformative power, uncovering and rectifying inefficiencies within the billing process, thereby enabling medical practices to operate with enhanced smoothness and efficiency. The establishment of standards for office staff and the implementation of policies and procedures foster a positive work environment, culminating in improved productivity, cost efficiency, communication, and time management. Furthermore, cultivating a culture of compliance becomes a magnet for attracting and retaining talented employees. Collaborating with Health Tech Billing Solutions equips clients to streamline their workflow, freeing them to channel their energies into providing top-tier patient care, thus elevating the quality of healthcare services they offer.

Maintaining Quality and Performance

Regular audits serve as a cornerstone for upholding quality and performance within healthcare organizations. By maintaining a vigilant watch over processes and promptly addressing any identified issues, these audits ensure the seamless and efficient operation of all facets of healthcare services. The ripple effect extends to improved patient care and heightened satisfaction, as well as bolstered financial performance. Moreover, the adherence to industry regulations and standards, safeguarded through regular audits, becomes paramount for the enduring success and unblemished reputation of any healthcare organization. In essence, the practice of regular auditing stands as an indispensable component in the pursuit of excellence within the realm of medical practice.

Education & Training Staff

Audit results serve as a wellspring of valuable opportunities for education and training within a healthcare organization. These assessments deftly pinpoint areas of weakness or potential improvement, guiding the organization in focusing its efforts on staff training and education initiatives to enhance performance. Keeping the staff updated on the latest industry standards through these measures not only mitigates errors but also amplifies the overall efficiency of billing and coding processes. Furthermore, by instituting a culture of regular training and learning, healthcare organizations cultivate an environment of continuous improvement, which inevitably elevates the overall quality and performance of their services. In essence, audits are instrumental in fostering a culture of excellence and continuous growth within the healthcare realm.

Type of Audits

Risk Based Audit

Our comprehensive approach involves a thorough examination of your existing codes, benchmarking them against national averages. Our aim is not only to ensure your coding practices align with best practices but also to mitigate any potential fraud risks, providing you with peace of mind and confidence in your coding accuracy.

Regularly Scheduled Audit

Following the initial evaluation, some clients opt for ongoing, recurring audits as a means of safeguarding their adherence to best practices. The cadence and intricacy of these audits can be tailored to precisely match their unique requirements, offering a flexible and customized approach to maintaining excellence in their operations.

Focused Audit

If you’re grappling with issues related to your ICD-10 or E/M codes, rest assured that we can provide a targeted review of the problem area to help you swiftly rectify any challenges and ensure accuracy in your coding practices.

Billing & Coding Audit Process

Review of Billing and Coding Policies

Recognizing the significance of ongoing policy reviews, we prioritize regular assessments of our clients’ billing and coding policies. This proactive approach allows us to pinpoint potential issues and collaborate with our clients to enact necessary changes, ensuring that their billing processes remain both efficient and fully compliant with industry standards.

Report & Recommendations

Health Tech Billing Solutions provides a comprehensive report detailing identified issues and suggested improvements in our clients’ billing and coding processes. With specific recommendations, we empower our clients to enhance their revenue cycle and boost their financial performance effectively.

Data Analysis

As a fundamental part of our medical billing and coding audit process, Health Tech Billing Solutions conducts a meticulous analysis of our clients’ billing and coding data. This in-depth examination enables us to discern trends and pinpoint areas that may require enhancement, ultimately contributing to the optimization of their billing procedures.

Follow Up

Health Tech Billing Solutions recognizes the significance of continuous support for our clients. We collaborate closely to implement suggested improvements and maintain efficient billing and coding processes through ongoing monitoring and assistance.