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Intentionally or unintentionally, many medical practices leave money on the table due to poor billing and coding practices.
Medical billing audits can be its remedy. Compiling clean claims is crucial for survival. Any medical practice, whether government or private, needs to have a streamlined workflow to provide value-based services to patients. In return, they get a productive revenue cycle that fulfills their financial goals.
Many of you might think that auditing involves just the reviewing of clinical data. However, it is not just about the submitted claims but the complete process, right from patient registration to payment posting to patient statements to collections. Prevention is better than cure, so examining and evaluating the billing performance beforehand and rectifying potential issues via medical billing audit services is better.
We Assist You in the Value-Based Billing & Coding Process!
The medical billing and coding process comprises nine major steps. A mishap can happen at any time. Even if the billing process is running smoothly at the moment, it still can have several potential threats. So, to keep upgrading the billing process and stay ahead in the game, P3Care medical billing auditing goes through each process to check for the potential areas.
Patient Registration
Confirmation of Insurance Eligibility
Medical coding
Claim Compilation
Claim Transmission
AR Follow Up
Denial Management
Patient Statement
Identify areas of under-coding/over-coding
Pinpoint fraudulent billing & coding
Prevent the use of outdated billing practices
Maximize Your Billing Performance & Streamline Your Revenue Cycle Management
Maybe your clinical documentation is not up-to-the-mark, or you might be missing significant quality measures. Hire medical billing audit experts that will help you look for errors.
Conduct a thorough risk-management analysis
Create a checklist for task and employee performance
Check if your EHR and billing software is updated
Avoid the use of inappropriate codes and billing quantifiers
We primarily provide HIPAA medical billing services and MIPS consultancy, among other services. As your HIT consultant, we optimize providers’ performance for improved RCM.
3200 E Guasti Rd Suite 100, Ontario, CA 91761, United States
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