Even top-performing practices lose thousands yearly from coding errors, missed charges, and compliance gaps. A medical billing audit protects your revenue, verifies accurate claims, and stabilizes cash flow. Our medical billing audit services uncover revenue leakage, cut compliance risks, and sharpen coding accuracy for hospitals, physicians, and healthcare providers across the USA.
Every day you delay an audit, more revenue slips away. Even minor billing errors can cause significant financial setbacks. A single incorrect CPT code, missed modifier, or non-compliant claim can cost lost reimbursements.
Audits do more than detect mistakes; they help practices stay aligned with OIG, CMS, and payer requirements. With evolving healthcare regulations, a proactive audit shields your practice from denials, recoupments, and costly penalties.
Seeking top-rated medical billing audit services? Your search ends here.
If you’re searching for the best medical billing audit company, our proven track record speaks for itself. We combine coding expertise, compliance knowledge, and AI-driven tools to deliver audits that strengthen financial performance.
Our medical billing audit solutions cover every detail of your revenue cycle so you get paid on time and with full compliance. We provide customized services for hospitals, physician practices, and clinics.
We collect accurate patient information (name, DOB, address, insurance details) to avoid errors. This step lays the foundation for error-free claims.
Align patient care quality with billing and compliance standards, providing accurate documentation while reducing financial risks across all healthcare services.
Our experts analyze denial trends, correct issues, and resubmit clean claims quickly within 24 hours without any disruptions in your cash flow.
Switching between systems wastes time. We integrate directly with your EHR and practice management software, creating a seamless workflow.
We handle ERAs and EOBs with accuracy, posting payments against claims and reconciling discrepancies. No payment goes unnoticed at our end.
Types of Medical Billing Audits We Offer
Every provider faces different risks. That’s why we deliver multiple billing audit types, including:
Conduct pre-bill audits to prevent denials before submission.
Post-bill audits to recover missed revenue.
Objective claim accuracy checks.
Full-scale external medical billing audit for compliance, accuracy, and revenue security.
Every provider faces different risks. That’s why we deliver multiple billing audit types, including:
Identify underpayments, missed charges, and hidden revenue opportunities.
Reduce claim denials and accelerate cash flow for your practice.
Receive a Corrective Action Plan (CAP).
Reduce claim denials and accelerate cash flow for your practice.
Our billing specialists manage audits while your team focuses on patient care.
A single audit can recover tens of thousands in lost revenue without adding new staff or increasing patient volume.
A Closer Look at Our Audit Process
We gather and review your claims, coding records, and payer policies to fully understand your revenue cycle and identify potential risks before they become problems.
We conduct targeted and random audits across claims to find errors, missed charges, and areas of improvement for maximum revenue recovery.
Our team reviews ICD-10, CPT, and HCPCS codes, making sure everything aligns with payer rules and federal guidelines. This way, you can reduce denials, avoid penalties, and bill with confidence.
Deliver a thorough report detailing claim accuracy, coding discrepancies, compliance findings, and actionable insights to strengthen your revenue cycle.
Provide training, workflow fixes, and step-by-step guidance to correct identified issues and prevent future coding and billing errors.
Reassess your claims and processes after implementation to confirm sustained compliance, refined billing, and improved financial performance.
Worried about audit costs? Most audits pay for themselves many times over. By identifying underpayments, reducing denials, and improving compliance, practices see measurable ROI within months.
Our Satisfied Clients
Discover how physician groups thrive with us.
Frequently Asked Questions
A modern medical billing audit checklist should cover:
