Medical bill auditing can help health care provider identify bogus charges on hospital bills through the comparison of itemized bills against medical records, treatment settings, service codes, etc., and save significant amount of dollars of patients. This is the best way to improve your clinical documentation and the livelihood of your health care organization. Afterall, quality health care is based on accurate and complete clinical documentation in the medical record.

1. Call now
888-357-3226 (Toll Free)
http://www.medicalbillersandcoders.com
End to End Medical Billing Solutions
Will Your Existing Billing Practices help you Successfully
Get through an Audit?
Medical bill auditing can help health care provider identify bogus charges on hospital bills
through the comparison of itemized bills against medical records, treatment settings, service
codes, etc., and save significant amount of dollars of patients. This is the best way to improve
your clinical documentation and the livelihood of your health care organization. Afterall, quality
health care is based on accurate and complete clinical documentation in the medical record.
Industry Standards State

80% of hospital bills contains overcharges in medical billing which can be
resolved in medical-bill-audits

At least 3% of all healthcare spending ($68 billion) is lost to fraud without
medical-bill-audits
Medical record audits are necessary to determine areas in your health care organization that
require improvements and corrections. The Centres of Medicare & Medicaid Services (CMS)
announced that up to one out of ten physicians and other healthcare professionals would
have to undergo another round of payment audits.
As per the latest CMS update, around 5-10% of all eligible health-care professionals attesting
for meaningful use will be selected for prepayment audits. These selections will be made
randomly and it will be based on protocols identifying suspicious/anomalous attestation data.
Moreover, post-payment audits will also another 5-10% of physicians and other healthcare
professionals.
What is the need of medical auditing?
Medical auditing requires conducting internal/external reviews of coding accuracy, policies, and
procedures to ensure that the practices run an efficient and hopefully liability-free operation.
Medical-bill-audits are performed to:




Determine faults in the billing documentation in the claims
Protect against fraudulent claims billing activity
Determine if there is a variation in billing from national averages due to inappropriate
coding, insufficient documentation, or lost revenue
Identify the problem areas while billing and make corrections in it before insurance or
government payers challenge inappropriate coding
www.medicalbillersandcoders.com
Copyright ©-2013 MBC. All Rights Reserved.
Page 1 of 3

2. Call now
http://www.medicalbillersandcoders.com
End to End Medical Billing Solutions





888-357-3226 (Toll Free)
Prevent governmental investigational auditors to question about inaccuracy in billing in
your practice
Prevent undercoding, bad unbundling procedures, and code overuse in the billing
documentation
Identify deficiencies in reimbursement procedures and rectify the process of
reimbursement
Prevent usage of outdated/incorrect codes for procedures
Verify ICD-10-CM and electronic health record (EHR) meaningful use readiness
How can physicians prepare for an audit?
To prepare for an audit, practices should:







Designate one person to regularly check that all responsible parties are complying with
meaningful use attestation guidelines
Keep a backup of all the data related to billing and documentation securely
Look at the reports carefully before submitting it and check for false claims
When selected for an audit, respond immediately to receive the bonus if physician
passes audit review
Retain supporting documentation (in either paper or electronic format) used in the
completion of the Attestation Module responses for six years post-attestation
Include documentation to support payment calculations to follow the current
documentation retention processes
Be prepared to capture dated screenshots (patient data with another clinician/other
software function, etc.) and present them if auditor may request
MBC helps physicians get successfully get through an audit:

MBC identifies the unnecessary spending of your practice through the
comparison of itemized bills against medical records, treatment settings, and
service codes

MBC's bill review service offers advanced technology with dedicated
compliance expertise to identify inaccurate, inappropriate, and excessive
charges on medical bills

MBC's staff of medical experts are competent in identifying the root cause of
overcharges in your practice to give you an extra edge in the audit
Medicalbillersandcoders.com has been assisting in medical-bill-auditing for healthcare
organizations for over a decade now across the 50 US States and across varied specialties. Our
customized services along with a dedicated medical billers and coders assures regular, accurate
www.medicalbillersandcoders.com
Copyright ©-2013 MBC. All Rights Reserved.
Page 2 of 3

3. Call now
888-357-3226 (Toll Free)
http://www.medicalbillersandcoders.com
End to End Medical Billing Solutions
and detailed medical record audits for our clients. Our team is constantly working to identify
opportunities which help improve accuracy, compliance and productivity in the health care
system.
MBC Billing Services
100% Assistance in Streamlined Medical-Bill-Auditing
Cost Saving
www.medicalbillersandcoders.com
Copyright ©-2013 MBC. All Rights Reserved.
Page 3 of 3