Assure Compliance Through Our Free Medical Billing and Coding Audits.

Stay informed regarding updates on healthcare regulations, payer policies, and coding guidelines by engaging with Pro Medical Billing Solutions.

Monitor Key Performance Indicators Related To Medical Billing and Coding.

Sign up for a free audit to track and oversee key performance indicators pertaining to Medical Billing and Coding, including rates of claim denials, accuracy in coding, and reimbursement rates.

Develop Comprehensive Policies and Procedures For Your Healthcare Medical Billing Practice.

Establish detailed Medical Billing policies to ensure accurate billing, minimize financial risks, and maintain regulatory compliance.

Assure Compliance Through Our Free Medical Billing and Coding Audits.

Stay informed regarding updates on healthcare regulations, payer policies, and coding guidelines by engaging with Pro Medical Billing Solutions.

Monitor Key Performance Indicators Related To Medical Billing and Coding.

Sign up for a free audit to track and oversee key performance indicators pertaining to Medical Billing and Coding, including rates of claim denials, accuracy in coding, and reimbursement rates.

Develop Comprehensive Policies and Procedures For Your Healthcare Medical Billing Practice.

Establish detailed Medical Billing policies to ensure accurate billing, minimize financial risks, and maintain regulatory compliance.

Get Paid More Quickly With

Billing & Coding Audit

Data to discover the root cause of all Denials.

Assure Compliance Through Our Free Medical Billing and Coding Audits.

Stay informed regarding updates on healthcare regulations, payer policies, and coding guidelines by engaging with Pro Medical Billing Solutions.

Monitor Key Performance Indicators Related To Medical Billing and Coding.

Sign up for a free audit to track and oversee key performance indicators pertaining to Medical Billing and Coding, including rates of claim denials, accuracy in coding, and reimbursement rates.

Develop Comprehensive Policies and Procedures For Your Healthcare Medical Billing Practice.

Establish detailed Medical Billing policies to ensure accurate billing, minimize financial risks, and maintain regulatory compliance.

Talk to an Expert

We're available 24/7 - Schedule a call with one of our experts now.

Billing & Coding Audit

We understand the importance of conducting regular audits of Medical Billing and Coding processes to ensure accuracy and efficiency in the revenue cycle. Our audit services help medical practices mitigate risk, optimize revenue, and improve their overall performance. In addition to identifying and addressing any issues, our audits also serve as an educational tool, helping practices understand the complexities of Medical Billing and Coding. We review coding quality to ensure accuracy and identify areas of strength and weakness to help practices establish a quality assurance process.

By carefully reviewing our clients’ billing and coding policies, analyzing their data, conducting on-site reviews, and providing recommendations for improvement, we are able to identify issues that may be impacting their revenue and offer solutions for addressing them. By implementing the recommended changes and continuing to monitor our clients’ billing and coding processes, we are able to help them optimize their revenue cycle and improve their bottom line. Whether you are a small private practice or a large healthcare organization, we have the expertise and resources to help you optimize your billing processes and maximize your revenue.

Risk Based Audit

A regularly scheduled audit refers to an audit that is conducted on a predetermined and recurring basis, typically at regular intervals. Unlike focused audits and risk based audits that are conducted on an as-needed basis, regularly scheduled audits are planned and carried out according to a predefined audit schedule.

Focused Audit

A focused audit is an audit approach that concentrates on specific aspects or areas of an organization's operations, rather than conducting a comprehensive examination of all processes. Unlike traditional audits that cover a wide range of activities, a focused audit targets key areas of concern or high-risk areas identified through risk assessments or other means.

Regularly Scheduled Audit

Risk Based Audit

Focused Audit

Regularly Scheduled Audit

Billing & Coding Audit Process we follow

Pro Medical Billing Solutions recognizes the vital role that Medical Billing and Coding Audits play in the smooth operation of our clients’ billing processes. To this end, we have developed a thorough audit process that includes the following steps

Review of Billing and Coding Policies

We perform a review of billing and coding policies to examine and assess the policies and procedures governing the Medical Billing and Coding processes within a healthcare facility. This review aims to ensure that the organization’s billing and coding practices comply with relevant regulations, payer guidelines, and industry standards.

Data Analysis

Data analysis for Medical Billing and Coding audits involves the examination and interpretation of data related to billing and coding processes to identify trends, patterns, anomalies, and areas for improvement. As part of our Medical Billing and Coding audit process, Pro Medical Billing Solutions conducts a detailed analysis of our clients’ billing and coding data. This allows us to identify any trends or areas for improvement that may be impacting the efficiency and effectiveness of their billing processes.

On-site Review

During an on-site review, we may review our clients’ billing and coding practices, including reviewing patient charts and other relevant documentation. This allows us to get a first-hand understanding of our clients’ billing processes and identify any issues or areas for improvement that may not be apparent from reviewing data alone.

Report and Recommendations

Pro Medical Billing Solutions prepares a detailed report that outlines any issues or areas for improvement that we have identified. This report includes specific recommendations for addressing these issues and improving our clients’ billing and coding processes. By providing our clients with clear, actionable recommendations, we are able to help them optimize their revenue cycle and improve their bottom line.

Follow-up

At Pro Medical Billing Solutions, we understand the importance of providing ongoing support to our clients to ensure that their billing and coding processes are running smoothly, we work with our clients to implement the recommended changes and continue to monitor their billing and coding processes to ensure that they are running efficiently.

What Makes Pro Medical Billing Solutions Special?

As a well-known Medical Billing Service provider, we take pride in our track record of consistently delivering accurate and timely results, ultimately enhancing revenue for our respected clients. We use state-of-the-art expertise to streamline the Medical Billing process, decrease errors, and improve productivity, all while providing exceptional customer service.

Pro Medical Billing Solutions has a team of incredibly talented and deeply experienced Medical Billing and Coding specialists. Our expertise isn’t just about handling billing requests. It’s a passionate commitment to ensuring your financial success in the Revenue Cycle Management industry.

Why Do Healthcare Professionals Choose Our Medical Billing Services?

Rapid Revenue Recovery

0 Days

First-Pass Resolution

0 %

Denial & Rejection

0 % - 10%

Short Turnaround Time

0 Hours

Electronic Claim

0 %

Electronic Payment

0 %

Client Retention

0 %

Revenue Increase

0 %

Rapid Revenue Recovery

0 Days

First-Pass Resolution

0 %

Denial & Rejection

0 % - 10%

Short Turnaround Time

0 Hours

Electronic Claim

0 %

Electronic Payment

0 %

Client Retention

0 %

Revenue Increase

0 %

Here are the top specialties, we are helping healthcare physicians throughout the United States to address their Medical Billing & Credentialing challenges.

Our team of experts specializes in the following areas, which are known to be the most impactful for improving Medical Billing efficiency and accuracy.

If you are searching for a reliable Medical Billing Company – You’ve found it – Contact us today to learn more about our services!

If you are searching for a reliable Medical Billing Company – You’ve found it –

today to learn more about our services!

Our Expertise

- Patient Scheduling & Registration

- Verification of Benefits

- Authorization & Referral

- Medical Billing

- Medical Coding

- Medical Billing Financial Audit

- Charge Entry & Payment Posting

- Billing & Coding Audit

- Denial Management

- AR Management

- Revenue Cycle Optimization

- Old AR Recovery

- Patient Billing & Statements

- Collections Services

- Patient Help 24/7

Here are the top specialties, We are helping healthcare physicians throughout the United States to address their Medical Billing & Credentialing challenges.

Our team of experts specializes in the following areas,which are known to be the most impactful for improving Medical Billing efficiency and accuracy.

If you are searching for a reliable Medical Billing Company -You’ve found it – contact us
today tolearn more about our services!

Gastroenterology Billing Services

Physical Therapy Billing
Services

Pediatric Medical Billing Services

Pain Management Billing Services

Plastic Surgery Billing
Services

Internal Medicine Billing Services

DME Billing Services

Otolaryngology Billing
Services

Dermatology Billing
Services

Ophthalmology Billing Services

Oncology Billing
Services

Cardiology Billing
Services

Neurosurgery Billing
Services

Chiropractic Billing
Services

Orthopedic Billing
Services

Behavioral Health Billing Services

Vascular Surgery Billing Services

Urology Billing Services

Radiology Billing
Services

General Surgery Billing Services

Colon and Rectal Billing Services

Anesthesiology Medical
Billing

Urgent Care Billing
Services

Gynecology Billing
Services

Rheumatology Billing Services

Personal Injury Billing Services

Family Practice Billing
Services

Dental Billing
Services

Pathology Billing
Services

Sleep Medicine Billing
Services

Our Expertise

- Patient Scheduling & Registration

- Verification of Benefits

- Authorization & Referral

- Medical Billing

- Medical Coding

- Medical Billing Financial Audit

- Charge Entry & Payment Posting

- Billing & Coding Audit

- Denial Management

- AR Management

- Revenue Cycle Optimization

- Old AR Recovery

- Patient Billing & Statements

- Collections Services

- Patient Help 24/7

Medical Billing Software We Leverage for Revenue Cycle Management

Here are some Industry top listed EHR being operated by us.

Our Esteemed Clients' Testimonials

Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.

Dr. Jorge Guevara | MD Outcomes Detox & Recovery Center (Texas)

For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.

Dr. Mukherjee Ranadev | MD and CO-FOUNDER Digestive Associates (Nevada)

We rely on Pro MBS for our medical billing operations and analysis. Our collaboration with Pro MBS has allowed us to excel over the last five years. We had a few patients’ inflows initially, and we ended up getting many more clients, Pro MBS helped us scale.

Dr. Charles Sisson | MD Integrated Medical Consultants (Colorado)

Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.

Jennifer Hartley | Administrator Adams Physical Therapy Services, Inc. (Indiana)

We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.

Marissa Vazquez | Office Manager Presence Therapy (Nevada)

Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.

Huiping Xu | MD Whole Health Professional PLLC (Texas)

Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.

Sandra Diaz | CEO South Main Clinic (Texas)

We are pleased with Pro Medical Billing Solutions' billing and coding services and highly endorse them to anyone looking for a proficient billing company. Collaborating with Pro Medical Billing Solutions has been effortless, and we are deeply grateful for their services.

Jennifer G. Walker D | DC Colorado Chiropractic Center (Colorado)

As the CEO of Big Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.

Johnny Gilbert | CEO Bird Dog Pharma (Texas)

I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.

Dr. Michael Farrel | DC Spine Correction Center (Colorado)

Frequently Asked Questions

How often should Medical Billing audits be performed ?

The frequency of Medical Billing audits should typically be determined based on various factors, including the size of the healthcare organization, the complexity of its billing processes, regulatory requirements, and risk assessment. However, audits are commonly conducted on a regular basis, such as quarterly, semi-annually, or annually. Additionally, audits may be performed more frequently in response to specific concerns or changes in regulations. Regular audits help ensure ongoing compliance, identify potential issues early, and mitigate financial risks.

What is an inhouse auditing process in Medical Billing ?

An in-house auditing process in Medical Billing involves conducting audits internally within the healthcare organization rather than outsourcing them to external entities. This process typically includes:

Establishing Audit Criteria
Selecting Audit Samples
Performing Audits
Identifying Findings
Analyzing Results
Implementing Corrective Actions
Monitoring and Follow-Up

By establishing an in-house auditing process, healthcare organizations can proactively monitor and improve their Medical Billing practices, ensure compliance with regulations, and mitigate financial and regulatory risks.

How would your Medical Billing Audit Service help us ?

Our audit services help medical practices mitigate risk, optimize revenue, and improve their overall performance. In addition to identifying and addressing any issues, our audits also serve as an educational tool, helping practices understand the complexities of medical coding and billing. We review coding quality to ensure accuracy and identify areas of strength and weakness to help practices establish a quality assurance process.

What is the standard benchmark for medical insurance billing audits ?

The standard benchmark for medical insurance billing audits typically involves assessing compliance with regulatory requirements, accuracy of coding, completeness of documentation, and adherence to organizational policies and procedures. Additionally, benchmarks may include comparing billing practices against industry standards, such as established coding guidelines and reimbursement rates. The specific benchmarks may vary depending on the focus of the audit and the objectives of the healthcare organization, but the overarching goal is to ensure accurate and compliant billing practices.

Who audits Medical Billing ?

Medical Billing can be audited by various entities, including

Internal Compliance Teams
External Auditors
Government Agencies
Third-Party Payers
Professional Associations

Overall, Medical Billing audits can be conducted by a variety of entities with the common goal of ensuring accuracy, compliance, and integrity in healthcare billing practices.

Are there companies that audit medical bills for accuracy ?

Yes, there are companies that specialize in auditing medical bills for accuracy. These companies typically offer services to healthcare providers, insurance companies, and other stakeholders to ensure that medical bills are correct, compliant with regulations, and accurately reflect the services provided. They may use advanced technology, data analysis, and industry expertise to identify errors, discrepancies, and potential overcharges in medical bills. Additionally, these companies may provide recommendations for corrective actions and help recover any overpayments or incorrect charges.

How often does a Medical Audit reduce bills ?

The frequency with which a medical audit reduces a bill can vary depending on various factors such as the nature of the audit, the extent of errors or discrepancies identified, and the responsiveness of the parties involved. In some cases, audits may result in a reduction of the billed amount if errors, overcharges, or inappropriate charges are identified and corrected. However, not all audits lead to reductions in bills, as some audits may focus on ensuring compliance with regulations and accuracy of billing rather than seeking to reduce charges. Ultimately, the impact of a medical audit on reducing a bill will depend on the specific circumstances of each audit and the findings that are uncovered.

What is a Medical Coding audit?

A Medical Coding audit is a review process used to assess the accuracy and completeness of medical coding in healthcare documentation. The goal is to ensure that codes accurately reflect the services provided to patients and comply with coding guidelines.

Why are Medical Coding audits important?

Medical Coding audits are important for several reasons. They help ensure compliance with coding guidelines and regulations, identify coding errors and areas for improvement, and can help prevent fraud and abuse.

What are the different types of Medical Coding audits?

There are several types of Medical Coding audits, including internal audits conducted by healthcare organizations to assess their own coding practices, external audits conducted by third-party auditors or payers, and pre-payment audits conducted before claims are paid.

Call Now : (725) 237-2757 | Info@prombs.com

We are here to Help

Practice Staffing Management

Medical Billing Consultancy

Workforce Extension

Networks & IT support

We are here to Help

Practice Staffing Management

Medical Billing Consultancy

Workforce Extension

Networks & IT support

Call Now : (725) 237-2757 | Info@prombs.com

Billing & Coding Audit

Talk to an Expert

We're available 24/7 - Schedule a call with one of our experts now.

Billing & Coding Audit

Risk Based Audit

Focused Audit

Regularly Scheduled Audit

Risk Based Audit

Focused Audit

Regularly Scheduled Audit

Billing & Coding Audit Process we follow

What Makes Pro Medical Billing Solutions Special?

Why Do Healthcare Professionals Choose Our Medical Billing Services?

Rapid Revenue Recovery

First-Pass Resolution

Denial & Rejection

Short Turnaround Time

Electronic Claim

Electronic Payment

Client Retention

Revenue Increase

Rapid Revenue Recovery

First-Pass Resolution

Denial & Rejection

Short Turnaround Time

Electronic Claim

Electronic Payment

Client Retention

Revenue Increase

Here are the top specialties, we are helping healthcare physicians throughout the United States to address their Medical Billing & Credentialing challenges.

Our Expertise

- Patient Scheduling & Registration

- Verification of Benefits

- Authorization & Referral

- Medical Billing

- Medical Coding

- Medical Billing Financial Audit

- Charge Entry & Payment Posting

- Billing & Coding Audit

- Denial Management

- AR Management

- Revenue Cycle Optimization

- Old AR Recovery

- Patient Billing & Statements

- Collections Services

- Patient Help 24/7

Here are the top specialties, We are helping healthcare physicians throughout the United States to address their Medical Billing & Credentialing challenges.