Coding Audits & Documentation
Ensure you are billing compliantly and capturing the full value of your services.
What This Service Does
Our certified coders review your clinical documentation against your billed codes. We look for both under-coding (missed revenue) and over-coding (compliance risk).
Why It Matters to Your Money
Miscoding is the #1 trigger for audits and the #1 reason for lost revenue. A regular audit protects your practice and often reveals hidden income opportunities.
Common Problems We Fix
- Fear of RAC audits or payer clawbacks
- Providers unsure which E/M level to select
- Templates that don't support medical necessity
- Revenue per encounter is lower than benchmarks
How We Do It Better
We don't just give you a score; we give you education. We meet with your providers to show them exactly how to improve their notes for better reimbursement.
Sample Selection
We pull a statistically valid sample of charts.
Detailed Review
Line-by-line comparison of notes vs. codes.
Risk Report
Identifying compliance gaps and revenue leaks.
Provider Education
Training your team on best practices.
Is This Right for Your Practice?
YES, If...
- You haven't been audited in over a year
- You are adding new providers
- You use a new EHR system
NO, If...
- You already have an internal compliance officer
- You do not bill insurance
Still not sure? Let's talk about your specific needs.