B.
Billing simplified for every healthcare provider
C.
Compliance ensured across all claims
S.
Solutions that optimize revenue and operations
Importance of Accurate Billing and Coding Audits
Precision billing and coding audits are instrumental in healthcare organizations to keep up financial stability, avoid errors that may cost them a lot of money, and ensure they follow the rules given by the payers and the regulatory bodies. By resolving issues of incomplete documentation, inconsistent coding, and the trend of rejected claims, providers will be able to simplify their workflows, increase the accuracy of reimbursements, and lower compliance risks. Consistent audits also facilitate the smooth running of the revenue cycle and allow the organization to be accountable.
Billing and Coding Audit
A billing and coding audit is an examination of the medical documentation and coded data that looks into their accuracy, completeness, and compliance. Through this, mistakes are found, the correct reimbursement is ensured, and support is given to the regulations followed. It not only improves the return of the revenue cycle but also makes the clinical and financial records more trustworthy.
Patient Record Verification
We thoroughly review patient records to confirm documentation accuracy and alignment with billed services.
Verify Coding Accuracy
Our audits ensure all medical codes accurately reflect documented diagnoses and procedures.
Compliance with Payer Guidelines
We evaluate claims for adherence to payer-specific policies and industry requirements.
Document Quality and Completeness
We assess documentation for clarity, completeness, and support for the billed codes.
Denial Management Analysis
We analyze denial trends to identify root causes and enhance claim approval rates.
Regulatory Compliance
WWe ensure documentation and coding processes comply with federal and state regulations.
We Serve To
- ➜ Solo Physicians
- ➜ Medical Groups
- ➜ Small Practices
- ➜ Hospitals
- ➜ Pharmacies
- ➜ Laboratories
- ➜ Medical Clinics
- ➜ Home Care Agencies
Certified EMR & EHR Software with BCS Medical Billing Services.
Our Promise
99%
Code Validation Accuracy
24-48
Hours Rapid Audit Insights
<2%
Post-Audit Discrepancy Rate
98%
Client Confidence & Retention
100%
Payer & Regulatory Alignment
30-50%
Stronger Audit-Ready Claims
Ready to Improve Your Billing and Coding Accuracy?
Contact us today, and our specialists will assess your documentation and coding needs to deliver a tailored auditing solution that enhances compliance, reduces denials, and strengthens your revenue cycle.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”
Billing and Conding Audit FAQ's
They reveal undercoding, overcoding, missed charges, and documentation that is incomplete documentation, which all have a direct impact on the reimbursement.
The most significant recurring financial losses due to E/M errors, the use of incorrect modifiers, and issues related to charge capture are, in fact, the most common ones.
For high-risk areas, the frequency should be quarterly, whereas for compliance and performance at the organizational level, it should be annually.
Auditing involves the evaluation of coding accuracy based on the regulations set by regulatory authorities in order to lessen the likelihood of penalties and repayment risks.
CDefinitely, the identification of the root-cause patterns during audits leads to an increase in first-run acceptance and a reduction of AR cycles.
Physicians get support through clarified documentation requirements as well as accurate coding and reimbursement.
A comprehensive report containing the findings of the claims at the detailed level, risk scoring, revenue impact, and actionable recommendations.
Only to a very limited extent, most of the audits are retrospective or performed remotely; thus, the involvement of the providers is minimal.
Certainly, trend analysis discloses the recurring coding or documentation that teams have, and thus, targeted training is required.
Without a doubt, they help us consolidate and correct our documentation and coding, which is the least risky phase during a time of RAC, MAC, or payer audits.
Let Us Handle Your Billing Services!
Denial Resolution- Risk-Free Trial
- Real-Time Insurance Validation
- Affordable Pricing
- Improved Cash Flow
- Timely AR Follow-Up
- Billing Specialists
- Challenging Denials Auditing
- Credentialing Services
- Healthcare Data Analysis
- Billing Strategy Consultation
- Helpdesk Assistance
- Revenue Cycle Management
- Insurance Eligibility Verification
- Patient Payment Solutions
- Skilled Medical Billing Experts
15+
Years of Experience
500+
Providers
25+
Softwares
50+
Specialties