Do you find yourself in a predicament where your collections are dropping or your reimbursements are unexpected? If so, our medical billing audit service will determine these issues, improve your revenue cycle and ensure you receive what you deserve.
Is your practice’s cash flow being affected by rising denial rates? Our audit services will root out the causes and improve claim acceptance to optimize your revenue cycle.
Are you worn out from handling dispute letters from insurance companies or threats of audit? Our practice audit guides you through those complexities while making sure you play by the rules and cutting back on financial risks.
Notice a drop in numbers of patients despite your hard work? Our medical billing audit will help uncover undisclosed factors that affect your medical billing processes increasing your patient base.
Do you have problems with the visibility of financial conditions in your business? Our audit services give distinct revelations meant for improving your financial management and operational efficiency.
Concerned about differences which may exist between your EMR collections and bank statements? We provide professional audit services that will make sure reconciliation of these disparities is done, hence maintain accurate financial records as well as peace of mind.
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Your Trusted Medical Billing Solutions Provider
Why Audit Is Important
Empower your practice and prepare for the future at every level!
Book your free consultation today for a medical billing audit.
To better understand your financial health and how well your operations are going, we focus on a few key areas:
Analyzing these areas gives us a clearer picture of where you stand financially and what can be improved.
Our complete review of your revenue cycle management ensures that your practice maintains optimal billing compliance and identifies potential inefficiencies within your billing processes. Here is what we focus on.
This comprehensive analysis helps ensure that your medical practice is up-to-date and financially sound.
When we look at your medical bills, we see more than just mistakes. We offer a comprehensive program designed to improve your financial health and the day-to-day operations of your practice. Here is what we focus on.
Our comprehensive audit process ensures transparency and integrity from start to finish:
Services That Fix What the Audit Finds
An audit shows where revenue is leaking. Pyramids Global can then fix each issue with:
- Medical coding services by certified coders using current CPT, ICD-10, and HCPCS codes
- Medical billing services that work denials and follow up on every unpaid or underpaid claim
- Revenue cycle management covering the full cycle from eligibility to payment posting
- Credentialing and provider enrollment with Medicare, Medicaid, and commercial payers in 21 states
Medical Billing Audit FAQs
What does a medical billing audit review?
Pyramids Global’s Premium Practice Audit reviews your coding accuracy, claim denial patterns, accounts receivable aging, payment posting, payer-specific compliance, and underpaid claims to show where your practice is losing revenue.
Is the audit free?
Yes. Pyramids Global offers a free practice audit, so you can see the findings before deciding whether to outsource any part of your billing.
Do we have to switch billing companies to get an audit?
No. The audit is a review of your current billing performance. You can use the findings with your in-house team, your current billing company, or Pyramids Global.
How often should a practice audit its billing?
Most practices benefit from a billing audit at least once a year, and again after major changes such as new providers, a new EHR, new payer contracts, or a sudden rise in denials.
What happens after the audit?
You receive a clear summary of the issues found and the steps to fix them. Most practices see measurable improvement within 60 to 90 days once those issues are addressed.
Is our patient data protected during the audit?
Yes. Pyramids Global follows HIPAA-compliant workflows and signs a Business Associate Agreement with every client practice before reviewing any patient data.