Medical Billing Audit

Our Services

Medical Billing Audit

Comprehensive audits to identify opportunities for improvement in your billing processes and maximize revenue capture.

Medical Billing Audit Services

Overview

Comprehensive Assessment

Whether you're concerned about revenue leakage, compliance risks, or simply want to optimize your billing processes, our comprehensive audit services offer valuable insights and actionable recommendations.

Our team of certified auditors examines every aspect of your billing workflow, from documentation and coding to claim submission and payment posting. We identify strengths, weaknesses, and opportunities for improvement, providing you with a detailed roadmap for optimization.

Our Services

Key Features

  • Comprehensive documentation and coding review
  • Charge capture and revenue leakage analysis
  • Claim submission and processing assessment
  • Denial pattern evaluation
  • Compliance risk identification
  • Staff knowledge and training assessment
  • Technology utilization review
  • Detailed findings report with actionable recommendations

Why Choose Us

Benefits of Our Billing Audit

Revenue Recovery

Identify and recover lost revenue through improved billing practices and revenue cycle optimization.

Compliance Assurance

Mitigate compliance risks and potential audit exposures with proactive identification and resolution.

Coding Optimization

Optimize coding accuracy to ensure appropriate reimbursement for all services provided by your practice.

Financial Improvement

Create a foundation for sustainable financial improvement with actionable recommendations and implementation support.

Our Process

Billing Audit Process

Our comprehensive audit approach ensures thorough assessment and actionable improvement recommendations.

Discovery Phase

Initial Discovery & Data Collection

We begin with a thorough discovery of your current billing practices and processes. During this phase, we:

  • Review current billing policies and procedures
  • Collect data on charge capture methods
  • Evaluate documentation practices and templates
  • Gather information on billing system configurations
  • Assess current reporting capabilities and metrics
Assessment Phase

Comprehensive Process Assessment

We conduct a detailed assessment of your entire revenue cycle process. Our assessment includes:

  • Evaluation of documentation quality and completeness
  • Review of coding accuracy and compliance
  • Analysis of charge capture effectiveness
  • Assessment of claim submission workflow
  • Evaluation of denial management processes
Analysis Phase

Data Analysis & Gap Identification

We analyze all collected data to identify patterns, trends, and opportunities for improvement. Our analysis includes:

  • Financial impact assessment of identified issues
  • Root cause analysis of recurring problems
  • Benchmark comparison against industry standards
  • Compliance risk evaluation
  • Prioritization of findings based on impact and resolution effort
Reporting Phase

Comprehensive Findings & Recommendations

We deliver detailed reports with actionable recommendations for improvement. Our reporting includes:

  • Executive summary of key findings
  • Detailed assessment results by functional area
  • Quantification of financial improvement opportunities
  • Prioritized recommendations with implementation timelines
  • Best practice guidelines for each area of improvement
Implementation Phase

Implementation Support & Follow-up

We don't just provide recommendations; we help you implement them. Our implementation support includes:

  • Development of detailed action plans
  • Staff training and education on best practices
  • Process redesign assistance
  • Policy and procedure development
  • Follow-up assessments to measure improvement
Client

The billing audit conducted by Omega revealed $87,000 in missed revenue opportunities and helped us implement processes that have increased our collections by 18% year-over-year.

Dr. Robert Williams

Northeast Medical Group

Client

Omega's billing audit was eye-opening. Their team identified several compliance risks we hadn't recognized and provided clear guidance on how to address them while improving our revenue capture.

Dr. Jennifer Parker

Westside Family Practice

Client

The implementation support provided after our audit was exceptional. Omega's team helped us redesign our entire charge capture process, resulting in a 15% reduction in missed charges within three months.

Michael Chen

Practice Administrator, Valley Medical Center

Our Expertise

Key Audit Focus Areas

Documentation & Coding

Evaluation of clinical documentation quality and coding accuracy to ensure maximum appropriate reimbursement.

Charge Capture

Assessment of charge capture processes to identify and eliminate revenue leakage from missed charges.

Claim Submission

Review of claim creation and submission workflows to identify bottlenecks and accuracy issues affecting payment.

Denial Management

Analysis of denial patterns and appeal processes to identify root causes and develop prevention strategies.

Compliance

Identification of compliance risks in coding, billing, and documentation practices to minimize audit exposure.

Staff Training

Assessment of staff knowledge and skills to identify training needs and improve overall performance.

Why Choose Us

Excellence in Service

Why Choose Omega Medical Billing?

  • 15+ years of experience in medical billing and coding
  • Certified auditors with specialty-specific knowledge
  • Compliance-focused approach to minimize risks
  • Actionable recommendations with clear implementation steps
  • Comprehensive implementation support

Ready to Improve Your Billing Processes?

Schedule a free billing audit with our experts to identify opportunities for financial improvement.

Get Started Today

How can we help you?

I can help with billing questions, insurance information, or scheduling assistance.