- (888) 487-1178
- info@connecticutmedicalbilling.com
- 49 Putnam Blvd Glastonbury, CT 06033
Our experienced audit specialists examine every aspect of your billing operations, pinpointing areas where revenue leakage occurs and compliance vulnerabilities exist. Through systematic evaluation and detailed reporting, we typically help practices recover 8-12% in lost revenue while strengthening their compliance posture.
Complete evaluation of your billing workflow from charge capture through payment posting. We identify bottlenecks, inefficiencies, and areas where revenue is being lost in the cycle.
Detailed examination of CPT, ICD-10, and HCPCS code assignments to ensure proper documentation support, appropriate specificity, and optimal reimbursement levels.
Thorough compliance checks against HIPAA, OIG guidelines, and payer-specific requirements. We identify potential audit triggers and help you implement corrective action plans.
Systematic review of reimbursement rates, contractual adjustments, and underpayment patterns. We verify that you're receiving appropriate compensation per your contracted rates.
Assessment of clinical documentation quality and completeness. We ensure your records support the level of service billed and meet medical necessity requirements.
Proactive identification of billing patterns that could raise red flags with auditors. We help you address potential fraud, waste, and abuse issues before they become problems.
In-depth examination of claim denials to identify root causes and trends. We develop targeted strategies to reduce denial rates and improve first-pass acceptance.
Verification of proper modifier application on procedures and services. We ensure modifiers are used correctly to avoid payment delays or compliance issues.
Specialized audit of evaluation and management services to confirm appropriate level selection based on documentation and current coding guidelines.
Examination of your charge capture process to identify missed charges, timing issues, and opportunities for revenue enhancement through improved workflows.
Assessment of how effectively your practice management and EHR systems are being utilized for billing purposes. We recommend optimization strategies.
Evaluation of billing staff knowledge and skills. We identify training gaps and provide recommendations to strengthen your team's capabilities.
Shield your organization from compliance penalties and legal exposure.
Enhance billing efficiency and staff productivity through process improvements.
Identify and recapture lost revenue from billing errors and oversights.
Implement corrective measures that prevent recurring problems.
Strengthen clinical documentation to support appropriate reimbursement.
Gain confidence that your billing practices meet industry standards.
Receive objective evaluation from independent billing experts.
Services designed for solo providers through large healthcare organizations.
FaqsAudit scope varies based on practice size and objectives. A standard comprehensive audit typically reviews 3-6 months of billing data and examines 30-50 patient encounters across different service types. The process usually takes 2-4 weeks from initiation to final report delivery, depending on practice volume and complexity.
Absolutely. We maintain strict confidentiality throughout the entire audit process. All findings, reports, and recommendations are shared only with designated personnel within your organization. We understand the sensitive nature of audit results and protect your information with the highest level of security and professional discretion.
