Nexus Medical Audit
Improve billing accuracy by conducting thorough audits, maintaining compliance and optimizing income potential for your medical practice.
What Medical Billing Audit Means and Why It's Important
A medical billing audit is a detailed auditing process to review your billing, coding, and payment processes. It ensures every service you provide is documented correctly and billed accurately.
Regular auditing gives you peace of mind and makes sure you never miss an opportunity to get paid better. They also validate your compliance with CMS, HIPAA, and payer rules from insurance companies.
Risks You Face with Billing Non-Compliance
Heavy Fines and Penalties
Are you worried about paying heavy fines and penalties?
Higher Audit Risks
Are you concerned your medical practice may face more audits?
More Claim Denials
Do you see more of your medical claims getting denied than approved?
Risk of Fraud Checks
Do you fear that billing mistakes could trigger healthcare fraud checks?
Damage to Reputation
Could billing issues damage your professional reputation?
Loss of Patient Trust
Are you losing patient care trust because of billing problems?
Why Our Medical Billers Are the Best Choice for Audits
You Can Find All Answers Here
A medical billing audit reviews your entire revenue cycle management, including billing, payments, and clinical documentation. A coding audit focuses only on the accuracy of medical codes and documentation for each medical service.
Audit procedure timelines depend on the size and complexity of your healthcare practice. Most medical billing audits are completed within a few weeks, giving you actionable audit results quickly.
We typically need patient records, claim submissions, EOBs, coding logs, and payment posting reports. These documents allow us to fully review your medical billing process and identify opportunities through our internal audit.
Experts recommend at least one comprehensive audit per year. High-volume healthcare facilities benefit from quarterly reviews to ensure continuous compliance and maximum revenue capture through regular auditing.
Absolutely. Medical billing audits help identify the root causes of medical claims denials and provide strategies to fix them. Audits help providers achieve faster approvals and better cash flow from insurance companies.