Physicians work hard throughout their career to serve the community with the best possible care. This process includes the clinical services they get paid for and support service that their profession requires. Physicians and practice owners are satisfied with their current reimbursement. However, between running the practice and providing quality care, thy are unlikely to identify gaps in payment. The lack of in-depth knowledge of medical coding, changes in payers reimbursement policies and inappropriate reporting from third party outsourced billing companies can put a medical practice in financial instability and risks of being audited or penalize.
Successful healthcare organizations perform audits once a year to stay up-to-date with their medical billing policies and procedures. This audit is performed by specialized auditors during which the entire revenue cycle is thoroughly monitored and analyzed to ensure that best practices are being followed. Key area of focus includes information gaps, credentialing, provider enrollment and coding and payers guidelines compliance.
Physicians Revenue Group, Inc. offers specialized medical billing audit services. Our audit has been designed to provide a comprehensive report that entails every aspect of the current revenue cycle operations. Our auditors perform chart and coding audit to analyze how well your practice is capturing the charges for services and if your practice is not under or over billing for these services. Our Billing Audit is a comprehensive process in which we go through the entire revenue cycle process to evaluate the effectiveness of the existing the current financial health of the practice. Our audit is spearheaded by professionals who keep a keen eye on the entire process and identify problematic areas along with a complete solution on how to resolve it. This audit monitors, identifies, and rectifies the critical errors that can lead to potential revenue loss and compliance issues for future.