Medical Accounts Receivable
Comprehensive Medical Bill Audit Services
A medical bill audit involves a thorough, systematic review of a healthcare practice’s billing processes to improve clinical care, ensure compliance, and verify that management practices align with the most up-to-date medical guidelines. At CareCents, our expert billing team offers free audit services to help medical practices, hospitals, and healthcare facilities streamline their operations and optimize revenue.
By providing an external perspective, we offer valuable insights and creative solutions that can lead to significant improvements in your practice’s financial and operational efficiency. Partnering with CareCents means unlocking more opportunities and boosting revenue through a comprehensive audit approach.
Our audit services aim to ensure compliance, improve billing accuracy, and streamline financial processes in the dynamic healthcare environment. We understand the complexities of medical billing, and our services are designed to tackle these challenges head-on, helping you stay aligned with changing regulations.
A Complete Audit & Action Plan
CareCents Medical Billing Audit Process
Our audit process involves a detailed examination of your practice’s financial operations, aiming for improved accuracy, compliance, and revenue growth. The key steps in our medical billing audit include:
Documentation Review
Our experts evaluate the completeness and accuracy of your patient records, coding, and billing documentation to ensure they align with standards and guidelines.
Coding Accuracy Check
We will verify the appropriateness of medical codes assigned to diagnoses and procedures, ensuring compliance with coding systems such as ICD-10 and CPT.
Charge Capture Assessment
Our medical billing experts examine the process of capturing and recording billable services to confirm that all eligible services are appropriately documented and billed.
Claims Submission Analysis
We will review the accuracy and timeliness of claims submissions to insurance companies, checking for completeness and adherence to specific payer requirements.
Payment Posting Verification
We will confirm that payments received match the expected reimbursement amounts, identifying any discrepancies that may require investigation.
A/R Analysis
Our A/R experts assess the status of outstanding accounts receivable, identifying and addressing any issues that may be causing delays in payment.
Compliance Review
Ensure adherence to relevant healthcare regulations, billing guidelines, and contractual obligations with payers to avoid legal and financial risks.
Provider Credentialing Confirmation
Verify that healthcare providers are properly credentialed with insurance companies, reducing the risk of claim denials.
Appeals Management
We have comprehensive strategies for handling claim denials or underpayments, including the preparation and submission of appeals when necessary.
Why CareCents Medical Billing Audit Services are Important?
Our team of experienced medical billing auditors at CareCents meticulously reviews your practice’s billing codes to ensure they are accurate and appropriate for the services provided. This step helps minimize claim denials and reduces the risk of compliance issues with payers. Our expert billing audit team conducts comprehensive audits to identify and rectify any compliance discrepancies, ensuring your practice adheres to the latest healthcare regulations, including HIPAA compliance, CPT codes, and ICD-10 coding standards.
At CareCents, our medical billing experts analyze your submitted claims to verify the completeness and accuracy of information, reducing the chances of costly rejections and claim denials. We also help you identify missed revenue opportunities by reviewing your billing and coding practices. Our services are designed to help you recover lost revenue, increase reimbursements, and improve your overall financial health.
Why Choose CareCents as Your Medical Billing Audit Services Provider?
At CareCents, we have an expert medical billing and auditing team dedicated to ensuring the highest level of coding accuracy. Our team will identify service overbilling through charge capture audits and optimize both front-end and back-end billing processes. By enhancing billing integrity, we help your practice meet its financial and data-quality targets, ensuring maximum revenue recovery and compliance.
Expertise
CareCents billing auditors bring extensive experience in healthcare billing and compliance, providing your practice with accurate and up-to-date advice from certified professionals.
Customized Solutions
We tailor our audit services to address the unique challenges of your practice, ensuring that your specific billing needs are met with personalized and effective solutions.
Comprehensive Reporting
CareCents delivers detailed reports that highlight areas for improvement, empowering you to make informed decisions and refine your billing and coding processes for optimal performance.
Peace of Mind
Focus on delivering excellent patient care, knowing that your financial processes are in the hands of CareCents experts, ensuring accuracy, compliance, and efficiency in every step.
Cost-Effective
Our services are designed to provide a strong return on investment by boosting revenue, reducing compliance-related penalties, and enhancing your practice’s financial health.
Get Started with CareCents Today!
Take the stress out of medical billing with CareCents. Our expert team ensures accurate, timely claims and maximizes your practice’s revenue. Contact us today for a free consultation and see the difference!
Testimonials
Proven Success in Medical Billing
Family Physician
CareCents has transformed our billing process! Their team is incredibly efficient and detail-oriented. We have seen a noticeable improvement in our revenue cycle and fewer claim denials. With CareCents handling our billing, we can focus more on providing exceptional care to our patients.
Orthopedic Surgeon
Outsourcing our billing to CareCents was one of the best decisions we made for our practice. Their attention to detail and thoroughness in handling our accounts has been outstanding. They take care of everything, which allows us to focus on what we do best—caring for our patients.
Pediatrician
CareCents billing services have been a game-changer for our practice. Their team is professional, responsive, and always ensures that our claims are processed promptly. We’ve noticed fewer billing errors and faster reimbursements, which has greatly improved our practice's financial health.
