Ensure Accuracy, Compliance, and Maximum Reimbursement with Medical Audit Services

Optimize Billing, Enhance Revenue, and Ensure Compliance.

At AtMed, we understand that even the smallest billing error can lead to substantial revenue loss, denied claims, and unnecessary legal complications. With our expert medical billing audit services, you can ensure that your billing processes are accurate, compliant, and optimized. Our goal is to safeguard your practice’s financial health and eliminate costly mistakes. Reach out to AtMed today and stay ahead of billing compliance challenges!

What Are Medical Billing Audits?

Medical billing audits are crucial for maintaining accurate and compliant billing processes. These audits involve a detailed review of your medical records, billing codes, and claims to ensure that your practice is billing correctly for the services rendered. At AtMed, we thoroughly inspect billing documentation to detect any discrepancies, including incorrect coding or incomplete documentation, before they lead to denied claims or lost revenue.

Regular audits not only help avoid compliance issues but also boost your practice’s financial stability by ensuring that every service provided is properly documented and reimbursed.

Our Medical Audit Expertise

360° Audit Solutions

We provide comprehensive medical billing and coding audits, ensuring compliance with regulations, catching errors before they escalate, and optimizing your revenue cycle.

Real-Time Reports

Get detailed insights into your revenue cycle with our post-audit reports, including coding accuracy, compliance risk, and denial trends.

Tailored Audits

We customize audit solutions for Medicare, Medicaid, commercial payers, and specialty-specific billing requirements.

Fast & Accurate Issue Resolution

Our audit team quickly identifies and corrects discrepancies, ensuring that your claims are paid promptly and accurately.

Coding & Documentation Accuracy

Our certified auditors ensure your medical records and claims match correct codes and documentation for accurate reimbursement.

Our Medical Audit Services Include

Medical Coding Audit

We audit all types of medical records—ensuring coding accuracy for inpatient, outpatient, and specialty care.

Billing & Revenue Cycle Audit

Our in-depth review of billing practices helps detect inefficiencies, lost revenue, and non-compliance with payer policies.

Government & Payor Mandated Audit

We help prepare and respond to government audits such as RAC, TPE, and more to ensure compliance and avoid penalties.

Collection Aging Audit

Recover lost revenue and resolve aging claims faster with our in-depth audit of denied or delayed claims.

Clinical Audits

Assess the quality of patient care and clinical outcomes while ensuring adherence to guidelines through our clinical audits.

Retrospective & Prospective Audits

We assess claims both before and after submission to identify areas for improvement and compliance gaps.

External Audit Support

Whether facing external payer or regulatory audits, we ensure thorough preparation and assistance.

Provider-Payer Contract Compliance

We ensure compliance with payer contracts and fee schedules to avoid costly errors in reimbursement.

Revenue Optimization Audit

Our proprietary tools ensure that all services are captured in billing, maximizing revenue.

Why Choose AtMed’s Medical Audit Services?

Reduce Denied Claims

We identify and address the most common reasons for claim denials, improving your first-pass claim acceptance rate.

Maximize Revenue Opportunities

Our audits catch missed opportunities for additional reimbursement, ensuring full payment for services rendered.

Comprehensive Compliance Safeguards

Stay ahead of payer audits and avoid penalties by ensuring full compliance with medical billing and coding standards.

Improve Billing Accuracy

We help eliminate coding errors that lead to rejections, delays, and revenue loss, strengthening your billing process.

Customized Solutions for Every Specialty

Our audit services are tailored to the unique needs of every healthcare specialty, from internal medicine to cardiology.

Safeguard Your Practice from Legal Issues

Stay compliant and reduce the risk of legal troubles with our proactive audit strategies that safeguard your practice’s financial health.

Our Medical Audit Process

Initial Consultation & Audit Planning

We start with a comprehensive consultation to understand your specific needs and challenges, customizing our audit approach accordingly.

Data Collection & Analysis

Our team gathers and reviews your medical records, coding practices, and billing data to ensure thorough evaluation.

Detailed Audit Report

You’ll receive an in-depth report highlighting errors, compliance gaps, missed revenue, and coding inaccuracies with actionable recommendations.

Review & Optimization

We work with your billing team to implement the recommended changes, streamlining your coding and documentation processes.

Real-Time Issue Resolution

Any urgent issues discovered during the audit, such as critical coding errors, are resolved promptly to avoid further delays in payment.

Ongoing Support & Compliance Monitoring

After the audit, we offer ongoing monitoring to ensure continued compliance and revenue optimization.

Get Your Free RCM Assessment

Evaluate your Practice Performance

We offers free revenue cycle assessments (RCAs) to help large and small practices to work smarter, not harder. Are you performing to your full potential?

Client Testimonials

See What Our Clients Are Saying About us

Medical Audit FAQs

Got Questions about our Medical Audit Services?

Medical billing audits are essential to ensure compliance, prevent claim denials, and optimize revenue. They identify errors before they lead to revenue loss or penalties.

A prospective audit evaluates claims before they are submitted to ensure accuracy. A retrospective audit reviews claims after they’ve been processed to identify errors and opportunities for improvement.

It’s recommended to perform audits regularly, ideally quarterly, to maintain accuracy and compliance, and to catch any potential issues early.

Yes, audits identify the root causes of denials, allowing for corrective action to be taken, ultimately reducing your denial rates.

We audit all types of records, including inpatient, outpatient, Medicare, Medicaid, and commercial claims.

Our audits are designed to integrate seamlessly into your operations, and our team ensures minimal disruption while identifying areas for improvement.