Ensure all charges are being accurately captured and billed
allay fears of Medicare or BCBS audit
Our Billing Integrity Audits help to ensure compliance and that your practice is capturing charges accurately and being reimbursed properly for its services. There are several layers to this kind of audit, and we can provide an audit of your entire system or just the areas of concern, depending upon your specific needs. Every practice needs to confirm they are billing correctly and compliantly – both for clinical reasons and reimbursement reasons. Our team can take a selection of charts per payor and per provider and thoroughly audit each chart to confirm the proper documentation, correct coding, and appropriate billing levels were submitted on each claim.
- We review documentation, billing and coding to ensure your practice received the maximum reimbursement allowed, based on the clinical documentation. We identify any gaps with modifiers, CPT codes or diagnosis codes, particularly with ICD-10, and ensure the appropriate billing levels were submitted with each claim.
- We then assess where there are deficiencies or areas of concern and provide you with an action plan to resolve concerns. Assisting you in implementing the action plan is a service that is also available to you through our Medical Billing Services. We also look at potential underpayments, overpayments, fee schedule discrepancies, EOB Reviews and provide ICD-10 training, depending upon your needs.
What Our Customers Have to Say
We are fast approaching our one-year anniversary, and although I wish circumstances with HFT Counseling had been different, I am truly glad that Legacy Consulting was there for us. Internal flags with our HFT ministry arose in the spring of 2015. In the fall of 2015, we initiated our search for a medical practice audit firm.
The Legacy proposal stood out not only for the skills and expertise offered, but more so for the strong alignment of Christ-centered values between Legacy and Patrick Henry Family Services. Your Legacy team quickly verified our concerns and diligently dug in to completely diagnose the situation; they met with clinicians, staff, and constituents to thoroughly assess the severity of the problem; produced comprehensive reports and analysis; and provided a comprehensive corrective action plan.
Without reservation, The Legacy Consulting Team was outstanding in their work for Patrick Henry Family Services. You were thorough, detailed, professional, and a “friend” when we needed one. The results were outstanding and timely. With Legacy, we have a bright future!
Stephen O. Edwards
COO, Patrick Henry Family Services
Expert, honest, and dedicated team for revenue cycles, billing and coding in health care. Also amazing at the forensic discovery of problems in claims and revenue cycle!
Clinical Network Manager, New Directions Behavioral Health
One of the many services Legacy Consulting provides are Billing Integrity Audits. There are several layers to this kind of audit and we can provide all or just some of the pieces, depending on our client’s needs. These audits can prove useful to assure compliance and ensure your practice is being reimbursed properly for its […]Read More
Legacy Consulting Services can help your practice ensure your claims are submitted correctly, and you’re not leaving money on the table.
Contact us today to help your practice realize its collection potential!