Our audit services ensure compliance with regulations, improve claim accuracy, and reduce the risk of denials or penalties. By reviewing processes and identifying inefficiencies, Keystone Medics supports optimized revenue cycle performance and long-term financial health for the practice.
Stay up to date with regulations to prevent audits and avoid costly penalties.
Reduce coding and billing mistakes to ensure consistent and trustworthy data.
Enhance clarity and precision in patient records for better reporting and care quality.
Refine coding and documentation practices to achieve full, timely compensation.
Evaluate current billing procedures, documentation, and compliance status.
Gather patient records, coding data, claims, and payment history for review.
Analyze codes used and supporting documentation for accuracy and regulatory compliance.
Ensure alignment with HIPAA, CMS, and payer-specific guidelines.
Identify discrepancies, undercoding, overcoding, and potential compliance risks.
Provide a comprehensive report with findings, insights, and actionable steps for improvement.
Our data-driven insights support proactive compliance monitoring and ongoing performance optimization, leading to improved reimbursements, reduced audit risk, and more efficient revenue cycle management.
Utilize analytics to identify coding trends, flag errors, and ensure alignment with current coding standards, minimizing denials and boosting claim approvals.
Leverage data insights to pinpoint documentation gaps, streamline record-keeping, and support accurate, detailed patient care narratives.
Use real-time data tracking to detect compliance risks early, stay updated with regulatory changes, and avoid penalties or audits.
Analyze key performance indicators (KPIs) to evaluate staff accuracy, billing efficiency, and reimbursement trends, enabling continuous improvement.
Review of CPT, ICD-10, and HCPCS codes to ensure correct and compliant usage.
Evaluation of clinical records to verify they support billed services.
Assessment of adherence to HIPAA, CMS, and payer-specific regulations.
Evaluation of the full billing process to uncover inefficiencies and revenue leakage.
Identification of missed revenue opportunities or risky overbilling practices.
Preparation for external audits by identifying and mitigating compliance risks.
Ensure billing aligns with individual payer guidelines to minimize denials..
Delivery of detailed audit reports with actionable insights and recommendations.
Ensure correct use of CPT, ICD-10, and HCPCS codes to reduce claim denials and billing errors.
Stay aligned with CMS, HIPAA, and payer-specific guidelines to minimize audit risks and penalties.
Identify undercoding or missed charges to maximize reimbursements and protect revenue.
Receive clear, actionable reports highlighting errors, trends, and areas for improvement.
Improve documentation quality to support coding and strengthen patient care reporting.
Access expert guidance and training for your team to maintain long-term coding excellence.
