We review and correct medical bills to ensure compliance and minimize errors.
Seville Medical Solutions provides medical billing audit services to healthcare providers to enhance compliance and revenue.
Here are the benefits we offer:
- Our team consists of trained medical billing auditors who are well-versed in the latest billing regulations, best practices, and standards. They conduct thorough audits of claims, documentation, and processes to ensure compliance and accuracy.
- We tailor our medical billing audit services to meet the unique needs and objectives of each client. We can perform audits on a regular, random, or targeted basis, depending on the scope and goals of the audit. Additionally, we offer valuable feedback and suggestions for improvement and follow-up actions.
- Our team utilizes advanced and secure technology to streamline the medical billing audit process. We can access and analyze claims data online using various tools and software, allowing us to quickly generate and share audit reports and results in multiple formats and methods.
- We strive to provide high-quality and reliable medical billing audit services that help our clients achieve their goals and enhance their satisfaction.
Our Medical Billing Audit Service Process
Seville Medical Solutions boasts a team of certified and experienced auditors who conduct medical billing audits following industry best practices and standards. Our systematic and transparent audit process includes the following steps:
- Determine the Audit's Scope and Purpose: We specify the number, period, type, payers, and goals for reviewing the records.
- Select a Sample of Records: We choose a representative and reliable sample of records using random or stratified sampling methods.
- Review Documents and Compare to Claims: Our team verifies the accuracy, completeness, consistency, and compliance of the records and claims, identifying and calculating errors and their impact.
- Report Audit Results and Recommendations: We prepare a detailed report summarizing the audit results, highlighting positive and negative areas, potential risks, and suggested actions for the client.
- Apply Corrective Actions and Monitor Progress: This includes providing staff feedback, education, or training, assisting the client in updating policies and procedures, improving quality control measures, and conducting follow-up audits.
Why Choose Seville Medical Solutions?
Seville Medical Solutions is staffed with skilled professionals who bring years of expertise in the healthcare billing industry. We stay abreast of the latest industry trends, ensuring our clients benefit from the most up-to-date knowledge and regulations.
We recognize that every medical practice is unique and faces its own set of challenges, requiring tailored knowledge and strategies. Our services are customized to meet the specific needs and goals of your practice.
Our team employs cutting-edge technology and advanced tools to thoroughly audit your billing process, ensuring efficiency and accuracy while identifying areas for improvement.