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Medical Billing Audit Services by Global Acts Solutions

Welcome to Global Acts Solutions, where precision meets expertise in Medical Billing Audit Services. In the healthcare industry, accurate billing is not just a necessity but a cornerstone of financial stability and compliance. Our specialized medical billing audit services are designed to ensure the accuracy, efficiency, and integrity of your billing processes, helping you maximize revenue and maintain regulatory compliance.

Why Medical Billing Audits Matter

Medical billing audits are critical for healthcare providers to identify and rectify errors, prevent revenue loss, and avoid compliance issues. Our comprehensive audit services provide:

Accuracy Assurance

Identify and correct billing errors to ensure accurate claims submission.

Revenue Optimization

Detect underbilling or overbilling to optimize revenue and reduce losses.

Compliance Verification

Ensure adherence to healthcare regulations and avoid potential legal issues and penalties.

Process Improvement

Gain insights into your billing processes to enhance efficiency and reduce administrative costs.
Our Medical Billing Audit Services

At Global Acts Solutions, we offer a full range of medical billing audit services tailored to meet the unique needs of healthcare providers. Our approach is thorough, data-driven, and focused on delivering actionable insights.

Our comprehensive billing audits cover every aspect of your billing process:

Claim Review

We meticulously review your submitted claims to identify discrepancies, errors, and potential areas for improvement.

Code Validation

Ensure the accuracy of coding practices, including ICD-10, CPT, and HCPCS codes, to prevent claim denials and rejections.

Documentation Review

Verify that all medical documentation supports the billed services, ensuring compliance with payer requirements.

For specific concerns, we conduct targeted audits focusing on particular areas of your billing process

High-Risk Areas

Identify and address high-risk areas prone to errors or fraud.

Specific Payers

Audit billing practices for specific insurance companies to ensure compliance with their guidelines.

Service Lines

Focus on particular service lines or departments to improve accuracy and efficiency in those areas.

Prevent errors before they occur with our pre-billing audit services

Claim Scrubbing

 Review claims before submission to identify and correct errors, reducing the risk of denials.

Coding Accuracy

Ensure accurate coding from the outset to avoid costly rework and delays in payment.

Documentation Compliance

Verify that all required documentation is complete and supports the billed services.

Analyze your post-payment processes to identify issues and optimize revenue

Payment Verification

Ensure that payments received match the expected reimbursements based on contractual agreements and payer policies.

Denial Analysis

 Investigate denied claims to identify trends and implement corrective actions.

Revenue Recovery

Identify and recover lost revenue due to underpayments or incorrect denials.

At Global Acts Solutions, we follow a structured process to ensure thorough and effective medical billing audits

Initial Assessment

We begin by understanding your billing practices, identifying key areas of concern, and defining the scope of the audit.

Data Collection

Our team collects and analyzes relevant data, including claims, coding practices, and documentation.

Audit Execution

We conduct a detailed audit using industry best practices and advanced analytical tools.

Expert Team

Our team of experienced auditors and coding specialists brings a wealth of knowledge and expertise in medical billing.

Customized Solutions

We tailor our audit services to meet the specific needs and goals of your healthcare practice.

Proven Results

Our audits have helped numerous clients improve accuracy, optimize revenue, and ensure compliance.

Transparent Communication

We maintain open and transparent communication throughout the audit process, keeping you informed at every step.

Contact us

Seamless Communication, Global Impact.

Address

B-1-15 Block B Ave, 46050 Petaling Jaya, Selangor, Malaysia

Let's Talk

Phone : +60 11-5168-6752

Email Support

info@globalactssols.com

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