Medical Billing & Coding Audit Services

What are Medical Billing Audits?

Medical billing and coding audits are necessary checkups to ensure a provider’s billing claims and coding documentation meet medical billing compliance. Certified billing auditors inspect patient charts and billing records to guarantee the use of correct codes that match conditions and care. Like routine physicals catching health problems early, audits diagnose issues in billing, allowing providers to correct course.

Audits are important as they reveal improper coding, incomplete documentation, missed charges, and noncompliance with reimbursement guidelines. This helps strengthen a provider’s revenue cycle by correcting errors proactively before they can lead to denied claims or penalties for incorrect billing. Regular comprehensive audits are advantageous as they ensure proper coding, completeness of records, optimal reimbursement, compliance with payer policies, and overall financial health.

How does MEDBILL SOLUTIONS Medical Coding Audit Company help?

MedBill Solutions works as a professional medical billing audit services company. Medical billing and coding is complex work full of pitfalls for error, calling for vigilant oversight. Therefore, our medical coding audit and compliance services provide this monitoring, serving as a safety net that preserves the integrity of the entire medical claims billing process.



The experienced billing auditors at Medbill Solutions, take a magnifying glass to documentation, coding choices, and the submitted claims to unveil inaccuracies and illuminate opportunities for billing cycle improvement. Our findings steer healthcare facilities toward error-free medical coding and full revenue capture.



Just as crucial, our high quality medical billing audit program heads off billing compliance violations and fraud that lead to fines, penalties and damaged integrity. Our audit service is thus a fundamental pillar upholding clinical, financial, and regulatory excellence.

Medical Coding Audit

We do medical coding audits for all types of medical records, including inpatient, outpatient, profee, and home health.

Medical Billing Audit

We do medical billing audits for all types of claims, including Medicare, Medicaid, commercial, and self-pay.

Government & Payor Mandated Audit

We prepare providers for and respond to government and payor mandated audits, such as TPE, RAC, OIG, DMEPOS, and Medical Necessity.

Clinical Audits

We conduct internal and external clinical audits to assess the quality and safety of your patient care and clinical outcomes.

Collection Aging Audit

We improve your cash flow by auditing your aged claims for errors and refiling denied claims with our collection aging audit.

Auditing Medicare Patient Charts

We audit Medicare patient charts, ensuring every dollar billed is justified and compliant, so your practice gets fully and fairly paid.

Check our Medical Billing Audit Solutions

Your Billing Problems and Our Auditing Solutions

Inaccurate billing and coding practices cost medical practices big. Denied claims lead to lost revenue. Backlogs lead to cash crunches. Errors lead to audits and penalties. Our medical billing and coding audit service sheds light on what’s broken in your workflows. After a comprehensive analysis of your people, processes and technology, we deliver specific recommendations to maintain compliance for a better-functioning revenue cycle.



Billing Errors

Affect the financial stability, cash flow, profitability, and sustainability of the healthcare organization.

Clean Billing Claims

With our comprehensive billing audit, we thoroughly examine each claim to verify correctness, securing maximum appropriate reimbursement to maintain financial health and endurance of your healthcare institution.

Coding Errors

Lead to claim denials, loss of revenue, overcharges, underpayments, patient dissatisfaction, and legal actions.



99% Claim Acceptance

We deploy advanced NLP and machine learning techniques to analyze medical records and catch coding mistakes, optimizing reimbursement and circumventing claim denials down the line.

Compliance Issues

Result in penalties, fines, audits, investigations, lawsuits, sanctions, and exclusion from federal health programs.

Meet Billing Compliance

Our robust billing analytics engine identifies trends, outliers and red flags in real-time, allowing for targeted audits to eliminate compliance risks and avoid government scrutiny.

MedBill Solutions Auditing Solutions To Date

1,500+

Satisfied Providers

30k+

Audits Performed

90,779

Coding Errors Resolved

$56,93,122+

Lost Revenue Recovered