- Schedule a free 30-minute appointment with a billing advisor today!
- Schedule a free 30-minute appointment with a billing advisor today!
Improper medical billing audit practices and outdated coding can result in claim denials, leading to substantial revenue losses and potential compliance violations. Our expert medical coding auditors conduct thorough evaluations using advanced medical coding audit tools and standardized medical coding audit checklists to ensure your practices meet industry standards.
Our medical billing and coding audit specialists have years of experience in providing accurate and efficient audit services. Our team ensures that the HIPAA laws and state-specific regulations are followed, ensuring healthcare providers are accurate, transparent, and reliable in their billing and coding.
Delivering high-quality patient care is your top priority—but are you being compensated fairly for it? Mistakes in medical billing can lead to lost revenue, claim denials, and even legal issues. That’s why having a reliable medical billing audit service is essential for any healthcare provider.
Our expert medical billing and coding auditing services are geared towards ensuring doctors are paid the right amount at the right time.
We deliver healthcare revenue management services that provide not only precision but value by improving compliance, security, and processes. Here’s what sets us apart:
Is your practice leaving money on the table due to coding inaccuracies? We use our experience to avoid any errors in your medical billing and coding processes. Our comprehensive auditing services help healthcare providers like you secure fair reimbursements while maintaining compliance.
Healthcare is complex enough without worrying about denied claims and delayed payments. Our medical billing audit services deliver peace of mind through the following:
Our certified coding specialists conduct thorough medical coding audits to:
Your practice isn’t like any other, and your billing solutions shouldn’t be either. With Integrity-RCM, you’ll receive:
Even if you’re running a busy urgent care center or a specialized mental health practice, our medical coding audit services adapt to your unique needs. We help practices across all specialties:
Integrity RCM provides comprehensive medical billing and coding services to practices of more than 30 specialties. Our expert team ensures accurate ICD-10 CM implementation while customizing your EHR workflows for maximum efficiency and reimbursement. We work to maximize your revenue while minimizing your administrative burdens.
We work closely with our clients. Feel free to interact with expert billers and a dedicated account management team. Each healthcare center partners with seasoned professionals who understand your unique challenges and goals. Your dedicated team delivers hands-on support, proactive problem-solving, and industry-leading expertise to optimize your revenue cycle.
| Performance Metrics | Integrity RCM | Industry Average | Benefits of Integrity RCM |
|---|---|---|---|
| Clean Claims Rate | 98-99% | 75-85% | Higher first-pass acceptance, faster reimbursement |
| Days in A/R | 14-30 days | 45-55 days | Improved cash flow and revenue cycle |
| Collection Rate | 96-98% | 85-90% | Maximum revenue capture |
| Denial Rate | <3% | 5-10% | Fewer rejected claims, reduced administrative burden |
| Coding Accuracy | 99% | 90-95% | Minimized compliance risks, optimal reimbursement |
| Patient Satisfaction | 95% | 80% | Better patient experience, fewer billing complaints |
| Customer Support | 24/7 dedicated support team | Limited business hours | Faster issue resolution |
We expertly manage medical billing and coding audits across the healthcare spectrum – from independent physicians to major health systems. Our tailored solutions ensure optimal reimbursements regardless of your practice size. Let the experts handle you medical audits!
We are a medical billing company that knows the features and workaround of your EHR system. At Integrity RCM, we work with your existing EHR to remove the hassle of shifting to a new one.
As a leading medical company in the USA, we deliver exceptional medical billing audit services across all 50 states. Integrity RCM combines cutting-edge technology
with expert knowledge to make your collection process smooth and efficient. Our certified specialists ensure compliance, optimize reimbursements and maintain the highest clean claims rates in the industry.
Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding
solutions from Integrity-RCM.
Medical coding audit services should be performed quarterly for optimal results, though high-risk specialties may benefit from
monthly reviews. Regular medical coding and auditing help identify patterns of errors early, preventing costly denials and compliance issues. Most practices find that quarterly audits strike the right balance between thorough oversight and operational efficiency.
The cost of medical billing audit services typically ranges from $150-500 per provider per month, depending on specialty and volume. However, most practices see a positive ROI within 3-6 months through improved reimbursement rates and reduced denials. The investment in professional medical coding audit services often pays for itself through recovered revenue and prevented billing errors.
For effective medical coding and auditing, experts recommend reviewing:
Common issues found during audits include coding errors, insufficient documentation, upcoding or down coding, and non-compliance with payer guidelines. Identifying these issues allows practices to correct them and implement preventive measures.
Yes, effective medical coding audits can significantly improve reimbursement rates by ensuring accurate coding, reducing denials, and identifying opportunities for better documentation and coding practices, leading to optimal reimbursement for services rendered.
