A physician practice billing audit is frequently established to assure the physician is submitting suitably coded claims according to CPT (Current Procedural Terminology) codes, guidelines and conventions, and payer payment policies, as the specialist is ultimately liable for claims submissions.
Auditing charges for physicians and billing practices are demanding, however, they will improve the claims management process, revenue, and consent. Auditing annually gives physicians and practice staff the ability to identify specific coding issues that may persist in similar claims submissions.
An audit with physicians and practice staff participating during the process will bring out the best results. As a physician, you are permitted to be compensated for the services you contribute when they are coded and documented accordingly. Physicians and practice staff that have deep knowledge of CPT coding and guidelines, as well as payer’s medical payment policy, contracts, and fee schedules reimbursement, are invaluable to a successful audit. Specialists and practice staff that are not as experienced in coding will learn more from the audit and will be able to catch their mistakes in the future and make their code cleaner and more efficient.
At 2020 MD Billing, we have a team of certified coders with vast experience in medical billing and auditing. Our team is committed to ensuring that physician practices comply with regulatory and payer requirements while maximizing their revenue. We use a variety of advanced tools and techniques to audit medical records and claims, including automated auditing and manual chart audits.
Our medical auditing services are tailored to meet the unique needs of each practice. We provide detailed reports highlighting coding issues and recommendations for corrective action. We also offer training and education to physicians and practice staff to help them improve their coding skills and reduce coding errors.
In conclusion, our medical auditing services are designed to help physician practices maximize their revenue and comply with regulatory and payer requirements. Contact us today to learn more about our medical auditing services and how we can help your practice improve its claims management process and revenue.