Auditing
Quality health care is based on accurate and complete clinical documentation in the medical record. We analyze your medical records and previous coding to ensure that your documentation supports submitted codes in case of audits. Our auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation.
Identification
Amedbills professional auditor’s identify the under-coding, code overuse, over billing ,improper unbundling habits. We Identifying reimbursement deficiencies as well as highlight the areas to increase it. Auditing process helps a practice understand risk and serves as a starting point for working toward smooth workflows and the best-functioning practice possible.
Analysis
Our analytics transforms unworkable, disparate healthcare provider data into actionable business insights delivered through one elegant dashboard interface. Injecting advanced analytics tools into existing systems creates more accurate clinical and business assessments in less time, producing immediate positive impacts on hospital efficiencies and revenue. Amedbills technology extends simplicity and elegance without sacrificing comprehensive business solutions.
Reporting
We provide with a detailed reporting that shows a complete picture of where your practice stand and identify the problems, causes and solution.
Billing audits might sometimes seem like a luxury especially in a very busy practice,but there are a number of compelling reasons why performing audits is actually beneficial.
Administrative Benefits
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Making sure claims are submitted correctly.
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Determining outliers before large payers identify them in their claims software (and request an external audit)Protecting against fraudulent billing activity and claims.
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Reducing and even preventing incorrect payments.
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Revealing whether your practice exhibits variation from national averages because of insufficient documentation, lost revenue, or inappropriate coding.
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Remedying under-coding, code overuse, improper unbundling habits, and encouraging appropriate billing for documented procedures.
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Saving your staff unneeded frustration.
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Identifying areas for increased reimbursement.
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Ensuring claims are submitted accurately, improving the relationship between you
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and your payers.
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Identifying reimbursement deficiencies as well as opportunities for proper
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reimbursement.
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Verifying ICD-10-CM and EHR Meaningful Use readiness
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Create a robust culture of compliance.
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Reducing and preventing improper payments;Ensuring that claims submitted are
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true and accurate.
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Speeding up and optimizing proper claim payment.
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Creating a positive environment that will allow for recruiting and retaining the best talent.
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Improving practice financial health, creating more stability for your staff.
Clinical Benefits
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An increased focus on care quality.
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Tracking and monitoring service and procedure use.
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Educate physicians on the entire patient experience.
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Enhancing care through a high-level look at the types of procedures you’re offering.
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A smoother revenue cycle which has been linked to a better patient financial experience and better patient outcomes.
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Overall, conducting billing audits helps a practice understand risk and serves as a starting point for working toward smooth workflows and the best-functioning practice possible.