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Charges (on average)

Gross Collection Rate (GCR)

Billing Cost

In-House Billing

$22,000

Care Billing Solutions

$22,000

Results

No change

In-House Billing

$19,800

Care Billing Solutions

$21,780

Results

+$1,980 (10% increase)

In-House Billing

$2,200

Care Billing Solutions

$2,640

Results

+$440 (20% increase)

Get a Billing Consultant Maximize Your Clinic’s Revenue Through Expert Medical Billing Audits

Boost your revenue with our expert medical billing audit services! Identify lost revenue, streamline processes, and ensure compliance. Let us help you maximize your clinic's profitability today!

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Benefits of our Medical Billing Auditing Services

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Error Detection

With a timely billing audit, we succeed in identifying billing and coding errors that lead to claim denials. These audits maximize claim acceptance rates by 98%.

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Compliance Assurance

Our medical bill auditing services ensure the compliance of medical codes and the bills generated. Compliance reduces the billing errors to a significant 25%.

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Revenue Optimization

Our billing audit experts identify where you are losing money and what factors are contributing to your decreasing revenues. These audits help with revenue optimization.

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Information Completeness

Our medical billing audits ensure the completeness of the information used for billing as well as its accuracy. Our audit team validates information received for billing purposes.

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Fraud Detection

Fraud detection and factors contributing to it are significant aspects of the medical bill audit. We identify any frauds and deal with them for transparent finances.

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Denial Management

As your trustworthy and responsible medical billing audit company, we audit the reasons for claim denials and propose suitable denial management solutions for quick refunds.

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Choose Us For Billing And Coding Audits!

Our medical coding audits are for everyone in the medical field. From offering billing audit services to individual physicians, to healthcare services, we ensure billing accuracy for all. We offer our billing and medical audit services for more than 90 specialties in the USA. With our expanding healthcare audit services, we have established ourselves as one of the best medical auditing companies.
Medical billing auditing is not only about identifying billing inaccuracies and issues; it is more than that. How updated your billing processes and the CPT codes are also matter the most. Our medical coding auditors look for the accuracy of the CPT codes for each service and procedure. Our billing experts are trained and updated on the changing CPT codes.
Over and under coding is one of the prominent reasons for over and underpaymet issues. Getting more or less reimbursed amounts is equally problematic. With our medical coding audit software and the expertise of coding auditors, we mitigate these issues very well. Accurate CPT codes lead to accurate bills with fewer denials and a higher first-pass rate.
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Metrics of Care Billing

200+

Clients Satisfaction

100+

Cost Reduction

96%

Revenue Increase

24/7

Work Accuracy

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Information Gathering

For a medical audit, all the relevant information, be it patient details, claim details, or payment records, needs to be gathered. We gather all this information from different sources.

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Information Review

After all the relevant data and information is gathered by our team, information review and analysis begin. We review the information for errors and inconsistencies.

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Compliance Validation

Our medical coding audit services involve the verification of code compliance. With our thorough audit services, we ensure billing and coding compliance to avoid penalties.

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Procedure Evaluation

Our auditors evaluate your existing coding and billing procedures. This evaluation helps in identifying the areas that are contributing to less reimbursement as well as potential areas.

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Billing Suggestion

We prepare a detailed audit report, which provides a thorough billing guide for your practices. From existing problems to corrective actions, all are all included in the audit report.

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Follow-Up

After we have proposed and suggested procedures to improve your practice revenue, our medical audit team keeps a follow up on them for guaranteed compliance.

It is pivotal to ensure the coding and billing practices are in compliance with the guidelines. This compliance helps in improving your revenues with better reimbursement rates. You will need our medical audit services to identify the billing errors, propose better solutions, and monitor the implemented solutions.

We analyze and audit your entire billing process, which means that we audit the documentation involved, the codes used, the claims generated, the amounts reimbursed, the reason behind the denials, and everything related to your practice’s growing revenue.

For every claim that you submit to the insurance payer, the co-payer needs to be audited. Hiring a coding and billing company like us, gives you complete relief and freedom from the complexities of accurate billing and its audit. We audit every claim and every amount that is reimbursed for less fraudulent matters.

Our audit services are incomplete without information gathering, Information gathering and document review are two of our crucial medical audit processes. With our access to your EHR and EMR systems, where the patient records and histories are updated, we proceed with the audit procedures.

Yes, we provide our clients with a detailed audit report that gives them a clear and deeper insight into their practice revenue and its growth. We clearly mention your existing issues, errors, and inefficiencies, as well as our proposed solutions.

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What Our Clients Say

“With the help of Care Billing medical audit services, we have successfully identified our inefficiencies and inaccuracies in the billing process. These experts have provided us with the best solution besides error identification.”
- Kira Catt., Medical Coder

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Get a quote for Medical Billing Audit Services today!