Maximize Revenue

We Assist with:

• Evaluation and Management (E/M): Detailed review of office visits and consultations.

• Baseline & Periodic Audits: Comprehensive initial assessments followed by routine monitoring.

• Pre-billing (Proactive) Audits: Review of claims before submission to ensure accuracy.

• Retrospective Audits: Analysis of paid claims to evaluate historical compliance and patterns.

• Targeted Audits: Focused reviews on specific high-risk codes or specialties.

• RAT-STATS Statistical Sampling: Utilization of OIG-certified software to ensure statistically valid random sampling for objective results.

• Compliance & Risk Mitigation: Proactive identification of patterns that trigger payer scrutiny to protect your practice from recoupments.

• Revenue Integrity: Deep-dive analysis to detect under-coding and ensure you are being fully reimbursed for the complexity of care provided.

• Documentation Excellence: Expert review of clinical notes to ensure they meet the specific requirements for the levels of service billed.

FAQs

What is RAT-STATS?

RAT-STATS is OIG-standard software for statistical sampling.

How do audits improve revenue?

Audits detect missed reimbursements and prevent costly recoupments.

What types of audits do you perform?

We conduct pre-billing, retrospective, baseline, periodic, and specialty audits tailored to your practice.

Regular audits ensure ongoing compliance and financial accuracy.

How often should audits be done?

Are your audits compliant with regulations?

Yes, all audits follow industry standards and regulatory guidelines.