30 Day Medical Billing Audits

30 Day Medical Billing Audits

The Excalibur team specializes in 30 day, rapid medical billing audits with the objectives of:

• Increasing your Medical Practice’s cash flow by +25%.
• Reducing your medical billing costs +15%.
• Increasing your Physician productivity resulting in greater revenue/

Our hands-on industry expertise, allows us to quickly engage, and rapidly move from engagement, to analysis to actionable recommendations.

What is a Medical Billing Audit?

• Thoroughly evaluate clinical documentation .
• Exhaustively review Medical billing information submitted to payers.
• Comprehensively audit your accounts receivable:  receipt of payment, financial controls, and A/R aging report.

What are the Benefits & Outcomes of a Medical Billing Audit?

• Coding:  
  • Ensuring ‘quality’ the first time, to reduce friction in payers denying payment and challenging claims.
  • Evaluating billing vs. national averages to better understand regional differences.
  • Advise on proper use of CPT codes, under-coding, code overuse and bundling procedures.
• Revenue Management:
  • Highlight opportunities to capture additional reimbursement.
• Accounts Receivable Management:
  • Advise on best practices on quality claim submissions to accelerate A/R and reduce bad debt.
• Process Improvement:
  • Establishing priorities:  we will spotlight and prioritize your greatest areas of improvement to increase revenue and cash flow.
  • Reporting:  we will make suggestions to streamline your reporting to focus on the most essential KPIs.