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Medical Billing Audit Services
Unique medical billing audit service
12+ Years
Extending medical billing audit services for 12+ years
7000+ Providers
Working with top specialties and providers with transparency
120000+
Working with insurance regulations across all 50 states
99% Success Rate
Audits reduce denials & increase collections
Our Story
Reliable medical billing audit services in USA
At Credex Healthcare, we believe in instituting precise checks that reduce any risks of denials and non-compliance.
Our team delivers actionable solutions in:
Credentialing Services
All maintenance and support activities with medical credentialing services
Practice Consulting
Providing practice consultation to help improve operational performance.
Contract Negotiation
Supplementary assistance with enrollment and contract negotiation services
RCM Support
Complete support with all billing and collections for health care providers
Auditing Services
Why Credex Healthcare
We know every practice is different, which is why our team customizes the services to meet the unique needs of every client by implementing an ecosystem that achieves full compliance and improved cash flow.
Analysis of the AR bucket
Our team is going to conduct an in-depth review of your aging AR bucket and those on the threshold of being tagged as ‘delinquent.’ A detailed action plan on how to recover their accounts is then given, based on the 30-60-90-day rule.
Evaluate Collection Ratio
Our team has the tools and expertise to quickly assess your outstanding balance and the current recovery status. Our team will be doing all the necessary activities with an aging AR bucket and will be employing strategies to improve collections.
Denial and Posting Audits
We will conduct a complete check on the main reasons for claim denials and identify the root cause. Our team will also ensure that all the gaps in payment posting are audited, and the best practices guidelines are shared for book reconciliation.
Revenue Leakage Analysis
We have the resources to conduct extensive research to understand the loopholes in the process. Our team will ensure that all details are reviewed, and the areas that are preventing you from getting paid will be identified.
Stats
AchievementStory
Shrink AR Bucket in 30 days
15% Rise in Revenue
97% Hike in Collections
95% Clean Rate of Claims
Benefits
Benefits of the Best Medical Billing Audit Company
Less Denials
Rejections mitigated with excellent first pass rate
Compliance boost
Improve the overall compliance of your organization.
Less Denials
Claims are submitted cleanly and approved.
Consistent Collections
Tangible aging AR collections strategy.
Key Details
The Credex Healthcare Way
We have an expert team to oversee your medical billing auditing requirements. Our team will be initiating a proven auditing process that will allow you to get your claims cleared quickly and shrink your AR bucket.
Satisfaction
Higher revenue collection leads to a delightful experience.
Skillset
Experienced resources work as your guide towards eliminating errors.
Patients
You can treat your patients well, as audits are done by trusted experts.
Collections
You get more claims collections, and your staff is better allocated.
Transparency
The audit report gives you strategic areas to target.
Testimonials
Multiple case studies are a testimony to our expertise.
100%
Audit Support
100%
HIPAA Compliance
97%
AR Collection
What Makes Credex Healthcare Extraordinary
98%
First Pass Rate
15%
Assured Profits
Specialties We are Offering
Clients speak for us
Director of Medical Records
Alicia,
CFO
Tom
Director of Operations
John
Director of Finance
Alex
Manager Quality Assurance
Rob,
How it works
Patient Demographics & Authorization
Extensive front-end verification, auth approvals, and entries support
Claims Submission
Error free submission of claims with coding and required billing mandates
AR & Denial Management
Complete support with aging accounts’ receivable collections
Trusted Audit Services
Dedicated engagement
We will be offering our resources for billing auditing using our dedicated platform.
Reduce denials
We will ensure completion of claims documentation to reduce denials.
Improve Cashflow
Our team has helped achieve a 15% improvement in cash flow.
Patient Focus
You can adopt a patient-centric model that improves engagement.
Start Auditing with Credex Healthcare
As a dynamic medical billing and audit company in the USA, we are equipped to manage any gaps in your existing process, identify them, and help you with strategic recommendations.
We have a robust action plan to share and help you gain financial dividends, improve the patient bases, and stay ahead of the competition with our dedicated assistance.
Frequently Asked Questions
What is included in medical billing audit services?
How often should hospitals conduct billing audits?
Do billing audits include both inpatient and outpatient services?
What’s the difference between coding audits and billing audits?
How do audits help reduce compliance risks?
Can outsourcing billing audits save money and time?
Our Latest Blogs
A medical billing denial happens when an insurance payer refuses to pay a claim after
In medical bills, a contractual adjustment is the difference between the service charge and how
Healthcare practices today face an impossible balancing act: delivering exceptional patient care while managing increasingly
Schedule A Call With Our Team Today
Fill the form and someone from our team will get back to you. Or you can also call us on (833) 477-1261.