A billing audit can mean several different jobs. One reviewer may inspect coding and documentation; another may focus on unworked claims, payment posting or contract performance. You\u2019ll get a more useful proposal if you decide which question the review needs to answer.<\/p>\n
Compare medical billing audit services<\/a> by scope, method and what your practice will receive. A broad promise to find lost revenue doesn’t explain any of those details.<\/p>\n Possible areas include encounter documentation, charge entry, claim submission, denials, payment posting, adjustments, accounts receivable and patient balances. The reviewer\u2019s qualifications should match the work you\u2019re asking them to assess.<\/p>\n Separate a workflow review from a coding or compliance review in the proposal. Use the billing responsibility checklist<\/a> to identify where work changes hands and which team supplies the information.<\/p>\n Have the reviewer explain the period, payers, providers, claim types and account statuses included. A review made only from known problem accounts answers a different question from a broader sample of routine work.<\/p>\n Confirm what a finding can support and where the sample’s limits will be stated. Avoid treating a few exceptions as an established practice-wide rate or projecting a recovery amount without a clear basis.<\/p>\nWhat does a medical billing audit review?<\/h2>\n
Ask how the reviewer will choose the sample<\/h2>\n