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Causes for Medical Record Audit in Your Practice

The audit of medical records is in the best interests of the practice, no matter how tiresome a process it may seem. It can prevent clinical documentation catastrophes for doctors and medical billing businesses.

An audit helps put safeguards in place to protect the system from dangerous viruses and illegal access and helps guard against anomalies in the billing system. Only a medical record audit will be able to prevent many mistakes. So, the correctness of medical records is crucial to the long-term viability of a successful medical billing and coding system, and medical record audits support this.

Audit Records At Least Once a Year

The accuracy and confidentiality of the medical information are guaranteed by a medical billing business. If a practice is having financial difficulties, there may be an issue with the billing process or the patient data.

Companies that specialize in billing auditing, like P3Care, never skimp on risk assessments. Consequently, perform a thorough study of the medical data at least once a year or once per quarter. Unbelievably, these audits identify problem areas even when everything appears to be in order. So, in order to increase their income potential, every medical practice must audit their patient data.

Why Your Practice Needs Medical Record Audit here are the 9 Reasons:

Missing information:

Determine faulty areas or missing information in medical records

Surpass fraudulent:

Surpass fraudulent medical billing and coding activities

Standards:

Identify areas that work differently from the given standards

Legal audit

Rectify problems in the billing process before the legal audit from the government

Illegal billing practice:

Save from penalty incurred as a legal the consequence for illegal billing practice

Official auditing services:

Prevent official auditing services from the knock-on your door

Inconsistencies:

Highlight issues such as under coding, over coding, unbundling habits, up to coding, code overuse, and other documentation inconsistencies

New opportunities:

Identify revenue opportunities for clinicians

Outdated practices:

Remedy the inappropriate or outdated practices

There are numerous instances where clinicians recorded inaccurate data and suffered financial loss. Under- or over-coding is one of the main causes of claims being refused. If a clinic refuses to look into these issues, it will never improve and will unwittingly lose hundreds of dollars.

Find documentation errors and increase your profits!

Absence of information or billing information may seem insignificant, but it happens frequently, particularly with primary care doctors. We frequently encounter doctors treating patients who don’t know how complex their sickness is, which makes it difficult for them to put together accurate claims for payers.

Here, medical billing auditing firms operate as the medical practice’s savior. No matter how complicated a system is, their team dissects every facet, evaluates it for risk, and offers solutions to address problems.

For instance, as a doctor, you might not want to spend here for financial reasons without realizing the impact it has on your claims if your practice management system is obsolete and has to be replaced. But, the auditing service will make sure you upgrade your system for long-term performance optimization.

Medical billing audits are used by even outsourced medical billing companies to maintain control over their infrastructure. Although it can appear needless, this procedure is essential for streamlining your revenue cycle management.

Call us at: (844) 557-3227

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