Recovery and run down audits
For high-quality assessments of payment accuracy, MedAR Resolve audit services integrate high-volume data mining methods with senior auditor sample reviews that are particular to customers and claims.
Audits frequently play a significant part in evaluating patient satisfaction and compliance. However, audits also increase a hospital’s or health system’s vulnerability to financial losses, which puts them at risk. Knowing that there are various sorts of audits, each of requiring for a unique response from your team, is the first step in overcoming them.
An internal healthcare audit’s goal is to establish and adhere to a standard process for evaluating, analyzing, and improving internal operations and patient care. An external audit’s primary goal is to verify that the claims handling process results in the accurate and proportionate payment of everybody involved.
Even with the best of intentions, the complexity of today’s health care charting and coding regulations leads to either undercoding or overcoding/underdocumenting all contacts, according to MedAR Resolve’s assessments. The practice’s revenue is immediately impacted by inaccurate coding, which also subjects a doctor to the prospect of refunds and penalties.
AREAS WE FOCUS
- Coding/Documentation Audits
- Revenue Cycle/ Account Receivable Audits
- Focused Audits
- Audit Validation
- Litigation Support/ Experts witness
- Audit plan Development
- Appeals
- Physicians/ Coder Education
The healthcare industry is developing quickly. While complex legal and regulatory requirements are becoming more prevalent, reimbursements are being reduced. Recovery Audit Contractors (RACs) have already started auditing physician practices, and compliance measures are required. At the same time, you must effectively manage your employees, run a profitable business, and ultimately give your patients high-quality medical care.
With their tested knowledge and resources, MedAR Resolve will help you in navigating these challenges so that you may maintain order, retain confidence, and make a profit.