Audits are coming
According to our prognosis, practitioners will experience an increasing number of insurance audits in 2022. Payment integrity programs and special fraud investigations are on the rise. Regardless of your participation status and specialty, you are likely to receive a request for some medical records pretty soon.
Beware, payers are quite peaky when it comes to proper coding, billing, and medical necessity of services. Inconsistencies may cause recoupments, deactivation or even a civil/criminal liability.
So how do you protect yourself against such revenue losses?
The answer starts with a simple action – try our Internal Auditing Service!
This unique all-encompassing feature helps you ensure that your charts are fully compliant with the current federal and commercial regulations. Our team of certified auditors have over two decades of experience in getting things done.
Here’s what We Can Help you with:
· Identification of upcoding/downcoding patterns
HIPAA and other privacy rules compliance
· Complete chart audit
· Analysis of coding patterns
· Identification of fraud/abuse billing patterns
· Analysis of billed claims, charges, and denials
Upon completion of an audit, we provide an extensive report on our findings, which includes recommendations on potential improvement and a personalized review of your documentation approach.
Don’t let insurance companies decrease your revenue! Use our internal auditing service instead.