Our in-depth medical billing audits services help identify revenue leaks and enhance claim submission efficiency, leading to faster reimbursements and higher profitability.
Monitor, identify and rectify critical errors to reduce risks revenue loss and compliance issues.
To ensure you don’t leave any money on the table, Mediknocx offers a complimentary financial audit for your practice. This detailed report analyzes your revenue and determines how well your current billing processes are working and how your practice measures up against industry standards.
With more than 25 years of experience as a medical billing audit company, our billing and coding specialists can help identify missed opportunities for revenue, including revenue lost due to incorrect fee schedules, coding errors, and services that providers are not billing for.
Mediknocx helps practices both large and small optimize billing and coding efficiency by analyzing processes including:
Are you maximizing revenue collection?
Are write-offs occurring prematurely?
Is your coding accurate?
Is there leakage in your billing process?
Your personalized financial audit includes coding analysis, benchmarking data, and solutions for any missed revenue opportunities. Contact us today to begin optimizing your medical billing and make lost revenue a thing of the past.
Improve your healthcare practice workflow by outsourcing medical billing audits to Mediknocx, where we turn billing challenges into streamlined solutions. Our dedicated billing auditor identifies areas for improvement, ensuring your billing process is flawless so you can focus more on patient care and less on claims.
Master the intricacies of value-based billing and coding with Mediknocx. In our detailed medical auditing services, we make sure your billing process runs smoothly, even if things seem fine at the moment. We dig deep to find and fix any hidden issues, helping you stay ahead and keep your billing system in top shape.
Spot and fix billing errors to boost your revenue and secure accurate reimbursements. We rectify costly penalties and gain clear insights into your billing performance for a more transparent process.
Mediknocx medical billing audit services identify gaps in your billing process, helping you reduce costly errors and ensure compliance with industry standards. By optimizing your billing, you can improve cash flow while dedicating more time to patient care. Trust us to manage the audit, so your staff can stay focused on what they do best—delivering personalized patient experiences.
Tackle reporting challenges—whether it's E/M coding, encounter documentation, medical necessity, or compliance guidelines—with Mediknocx customized post-audit education. Our training equips your team to overcome reimbursement and regulatory obstacles, delivering measurable improvements. Offered onsite or remotely, our flexible training covers post-audit education, HCC risk adjustment, and specialized training tailored to your practice's needs. With a dedicated project manager and a team of certified coders and auditors, we ensure your success by helping you:
We do medical coding audits for all types of medical records, including inpatient, outpatient, profee, and home health.
We do medical billing audits for all types of claims, including Medicare, Medicaid, commercial, and self-pay.
We prepare providers for and respond to government and payor mandated audits, such as TPE, RAC, OIG, DMEPOS, and Medical Necessity.
We conduct internal and external clinical audits to assess the quality and safety of your patient care and clinical outcomes.
We improve your cash flow by auditing your aged claims for errors and refiling denied claims with our collection aging audit.
We audit Medicare patient charts, ensuring every dollar billed is justified and compliant, so your practice gets fully and fairly paid.
Let us shed some light on them!
Inaccurate billing and coding practices cost medical practices big. Denied claims lead to lost revenue. Backlogs lead to cash crunches. Errors lead to audits and penalties. Our medical billing and coding audit service sheds light on what’s broken in your workflows. After a comprehensive analysis of your people, processes and technology, we deliver specific recommendations to maintain compliance for a better-functioning revenue cycle.
With our comprehensive billing audit, we thoroughly examine each claim to verify correctness, securing maximum appropriate reimbursement to maintain financial health and endurance of your healthcare institution.
Lead to claim denials, loss of revenue, overcharges, underpayments, patient dissatisfaction, and legal actions.
We deploy advanced NLP and machine learning techniques to analyze medical records and catch coding mistakes, optimizing reimbursement and circumventing claim denials down the line.
Result in penalties, fines, audits, investigations, lawsuits, sanctions, and exclusion from federal health programs.
Our robust billing analytics engine identifies trends, outliers and red flags in real-time, allowing for targeted audits to eliminate compliance risks and avoid government scrutiny.
Could force healthcare providers to reduce staff, limit services, close practices, or accept fewer Medicare patients.
Our proprietary AI-powered billing audit system analyzes your claims data to identify missed revenue opportunities and compliance risks, ensuring every penny is captured before reimbursement cuts hit your bottom line.
We conduct an in-depth review of your internal processes and documentation to ensure that they meet the industry standards. We also provide recommendations to help providers improve their performance.
We perform an independent assessment of your claims and payments from third-party payers like Medicare and Medicaid. We resolve billing disputes, recover underpayments, and work with aged receivables.
We evaluate your claims before they are submitted to the payers, to ensure that they are accurate, complete, and compliant. We help you prevent any denials, rejections, or delays in reimbursement.
We analyze your claims after they have been processed by the payers, to identify any errors. We help you correct any mistakes, appeal any denials, and optimize your revenue cycle.
We provide a holistic approach to auditing your entire medical practice. We examine all aspects of your operations, from coding and billing to documentation and compliance.
Our specialized audits dig deep into your claims data and billing records to recover improper payments and missed revenue.
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Assessing coding accuracy is a principal objective of our medical coding audit company. We thoroughly investigate medical charts to ensure codes mirror the diagnosis, completed procedures, and complexity level. Proper coding is vital for correct reimbursement and adherence to guidelines. Our audits identify any upcoding or undercoding issues and recommend remedial actions. With our assistance, doctors can have confidence their coding satisfies standards and captures the total value due.
Another essential element we examine is charge capture. We validate that all services rendered and supplies used are captured in the billing at the appropriate rates. Missed charges lead to lost revenue. Our auditors diligently compare the documentation in the medical record to the itemized billing statement. We identify any missed charges and recommend improvements to charge capture processes. Our goal is to maximize your reimbursement by closing gaps where legitimate charges are overlooked.
Thorough documentation review is also part of our billing audit process. We assess whether the medical record provides clear, consistent documentation that supports the coded claims. Complete, accurate documentation is required to justify charges and pass payer scrutiny. Our team flags any documentation issues like vagueness, inconsistency, missing signatures/credentials, or lack of medical necessity. We provide guidance to strengthen documentation practices for better claim defense and audit survival.
Some other areas we examine are proper application of insurance payor contracts and fee schedules as well as accuracy of data entered into the billing system. Invalid fee schedules and data entry errors can sabotage reimbursement. We verify compliance with payer contracts and recommend process improvements to enhance billing system accuracy. Our comprehensive audits cover all key facets to maximize claim quality and revenue integrity.
This report analyzes your charge capture process to identify areas of revenue leakage. We examine front-end charge capture issues that lead to missed charges and lost revenue. The report provides specific recommendations to improve charge capture.
We provide in-depth reporting to give you a complete picture of your coding and billing operations. Here are some of the most important reports that you can request post-auditing.
Our coding audit examines a sample of charts to identify coding errors and improvement opportunities. The audit report details coding accuracy rates, the financial impact of errors, and targeted education needs for coders. We also provide a risk analysis to help prioritize auditing efforts.
By analyzing your denials data, we identify the leading denial reasons, whether appeals are warranted, and opportunities to prevent future denials. Our denial report provides the information you need to reduce denials and improve revenue cycle performance.
This assessment gauges your compliance risk levels in areas such as coding and billing documentation, Medicare regulations, and HIPAA. We provide a scorecard measuring your risk exposure and a roadmap for strengthening your compliance program.
How do your KPIs stack up? Our benchmarking report compares your metrics to industry averages so you can pinpoint areas for improvement. We examine leading indicators such as first-pass resolution, net collection rate, A/R days, and more.
Mediknocx has certified doctors, auditors, and clinicians who can perform various types of reviews on your medical charts, such as:
Our clinical auditors performs various types of medical chart reviews, such as inpatient, outpatient, radiology, DME audit, mammography audit, etc. We assess the quality of the care provided, the compliance with the coding and documentation standards, and the adherence to the clinical guidelines.
Let us do a free health check for your practice.
Claim Free Medical Audit→
Mediknox medical billing consultancy service optimizes the revenue cycle end-to-end to accelerate patient intake, expedite claims, and maximize collections. The result? More cash on hand, lower expenses, and happier patients.
Mediknock medical billing consultation group works closely with health centers to guarantee claims are submitted properly. with reimbursements coming in "full" and "on time", health facilities thrive. As consultants, we enable long-term revenue growth.
Mediknox medical billing consulting solutions optimize doctor cash flow. Our consultants identify issues delaying payments and provide electronic claim processing solutions for faster payouts.
Whether you operate a small clinic or manage a large healthcare organization, our medical billing audit services are customized to meet your specific needs. We provide end-to-end solutions that address unique challenges, ensuring compliance with regulatory standards, reducing claim denials, and enhancing revenue generation. With our nationwide services, every healthcare provider can benefit from our expertise, regardless of size or specialty.
Our thorough audits help detect and correct errors in charge capture, claims submission, and billing workflows to ensure financial accuracy.
We maintain strict adherence to healthcare regulations, ensuring that your billing practices meet compliance requirements and avoid penalties.
Our experts identify inefficiencies in your revenue cycle management and provide actionable recommendations to optimize your financial health.
We implement proactive strategies to address claim denials, ensuring faster reimbursements and minimizing revenue loss.
Gain comprehensive insights into billing performance with detailed reporting and data analysis, helping you make informed financial decisions.
Outsourcing billing audits allows your team to focus on patient engagement and care, while we handle the complexities of billing accuracy and compliance.
Outsourcing your healthcare billing and coding services can lead to significant improvements in operational efficiency, cost savings, and overall financial performance. By entrusting these tasks to specialized experts, you can focus more on patient care and less on administrative challenges. Mediknocx offers tailored RCM solutions for healthcare providers, ensuring efficient billing and optimized revenue cycles. Our expert team understands the unique needs of medical practices, delivering compliant and accurate billing services. Enhance your financial performance with our specialized RCM solutions for healthcare professionals.
Reduce overhead costs by outsourcing billing tasks to experienced professionals who handle everything with precision.
Benefit from the knowledge of specialized billing and coding professionals who are up-to-date with industry regulations.
Minimize errors in billing and coding, leading to faster reimbursements and fewer denials.
Stay compliant with ever-changing healthcare regulations without dedicating in-house resources to manage this complexity.
Free up your time and resources to concentrate on providing quality care to your patients.
Easily scale your billing operations up or down depending on your practice's needs, without the hassle of managing extra staff.
Medicare billing is complex, but profitability is simple with our consultants. We combine billing expertise with practice-specific revenue solutions. The result? Maximum, hassle-free Medicare reimbursements. Let us design a roadmap to financial success for your practice.
Partnered with the leading HIT and healthcare experts, we bring operational stability within a medical practice. Consequently, it enhances the quality of care, as you must maintain it. In addition, Mediknocx brings seamless procedures to ensure maximum revenue generation from the same practice. Similarly, we ensure maximum profitability with our cost-effective HIPAA Compliant solutions. Our practice management experts can streamline all the administrative tasks at your practice. Also, you can focus on the care delivery and ensure patient satisfaction. We help you to achieve a stress-free operational mechanism for your medical practice. Further, you can optimize the quality of your practice workflow. Moreover, achieve operational stability with us.
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