Medical Billing Audits: What Is Its Process and Benefits!
A medical billing audit is a structured process in which the reliability and effectiveness of clinical documentation get assessed. In simple words, it is the monitoring and inspection of medical billing services. It checks all the health records that have been kept and maintained by medical practices and reviews the medical billing data submitted to insurance payers. Further stated, it also helps medical practices fix inappropriate billing practices and keep an eye out for them in the future. Requirements of a Billing and Audit Doing a full-fletched billing audit requires a lot of sources. So, when auditing, a practice needs to provide different types of clinical records, such as: Medical records X-rays and lab reports Financial records (charge sheets, remittance advice, etc.) Accounts Receivable (AR) ledger Other documents that are related to their policy Prospective & Retrospective Audits are conducted either before insurance claims or afte...