Billing Auditing

We follow the National Health Care Billing Audit Guidelines.  We provide Billing audits, concurrent audits, and retrospective audits.

Billing audit: A process to determine whether data in a provider’s health record, and/or by appropriate and referenced medical policies, documents or support services listed on a provider’s bill. Providers conduct such audits either through an internal control process or by hiring and external audit firm. (These audits can be conducted on a retrospective or concurrent basis and commonly are referred to as revenue recovery audit.) Also, third party payers conduct billing audits through their employees or their agents. (Also known as chart audit or charge review.)

Concurrent Audit: a billing audit conducted before the issuance of an interim or final bill.

Retrospective Audit: a billing audit conducted after the issuance of an interim or final bill.