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Secure Your Revenue with Expert Medical
Billing Audit Services
Don’t let billing errors compromise your revenue or compliance. Our medical billing audits and coding audits provide an expert review of your claims for accuracy, compliance, and optimization. We strategically reduce claim rejections while optimizing your revenue capture. Partner with WeCare today to protect your practice’s financial health.
Our Comprehensive Audit Solutions
- Coding Audits: Expert review of inpatient, outpatient, professional fee, and home health records to ensure coding accuracy and compliance.
- Billing Audits: We ensure claim accuracy across Medicare, Medicaid, commercial, and self pay accounts to strengthen your revenue cycle.
- Government & Payer Audits: We provide full support for TPE, RAC, OIG, DMEPOS, and medical necessity reviews to help you navigate external inquiries.
- Clinical Audits: Our team evaluates patient care documentation and safety protocols through both internal and external reviews.
- Collection Aging Audits: We recover lost revenue by identifying errors in aged accounts, correcting claims, and managing resubmissions.
- Medicare Chart Audits: Our specialized audits validate compliance and help maximize reimbursement for every Medicare claim you submit.
Uncover and Recover Lost Revenue
Undetected billing errors and persistent claim mistakes can significantly erode your practice’s revenue. Our medical billing audit services are designed to pinpoint these exact issues, ensure regulatory compliance, and help your practice protect its revenue while improving profitability.
Rated 4.9/5 By 10k+ Happy Customers
How We Optimize Your Billing and Coding
Managing healthcare billing is complex, where small mistakes can lead to significant revenue loss and compliance risks. Our medical billing audit service is designed to uncover these hidden problems, strengthen your financial performance, and provide your practice with confidence in its operations.
Internal Audit
A thorough assessment of your documentation and internal processes to ensure compliance and improve operational efficiency.
External Audit
Independent evaluations of claims and payments with payers like Medicare and Medicaid to resolve disputes and recover underpayments.
Prospective Audit
Reviewing claims before submission to significantly reduce denials, rejections, and payment delays.
Retrospective Audit
A post payment analysis designed to correct errors, appeal improper denials, and maximize reimbursements.
Comprehensive Audit
A complete review covering coding, billing, documentation, and compliance to ensure end to end accuracy.
Let Us Find Your Missing Revenue.
Our specialized audits uncover hidden errors and strengthen your entire revenue cycle.
Protect Your Practice with Expert Coding Audits
Our expert coding audits protect your practice from financial inaccuracies and regulatory penalties.
- We review billing codes for accuracy and proper documentation.
- We identify errors early to ensure timely corrections are made.
- We optimize claims to achieve higher reimbursement rates.
- We strengthen your compliance posture to minimize audit risks.
- We deliver straightforward reports that offer actionable intelligence backed by your data.
Stay compliant and secure your revenue.
Our commitment to accuracy and compliance has delivered measurable value for healthcare organizations nationwide
Ensure Billing Compliance with Actionable Audit Reports
Receive clear audit reports designed to protect your practice and strengthen its revenue cycle.
- Charge Capture Analysis: We analyze clinical documentation against billed charges to identify missed services, lost revenue, and underpayments.
- Coding Audit Report: Our reports highlight coding accuracy rates, error trends, and potential risks, with clear recommendations for improvement.
- Denials Analysis: We analyze payer denials to identify recurring issues and develop effective strategies to improve your clean claim rate.
- Compliance Risk Assessment: Our team evaluates your documentation and processes against Medicare, HIPAA, and industry standards to minimize your risk exposure.
- Revenue Cycle Benchmarking: We measure your key performance indicators against industry benchmarks to identify gaps and boost collection efficiency.
Rated 4.9/5 By 10k+ Happy Customers
Specialties We Support
Our auditing expertise covers a broad range of medical and surgical specialties, such as:
Urgent Care
Primary Care
IVR/CCL
Critical Care
Dermatology
Behavioral Health
Pain Management
Chronic Care Management
Medical & Radiation Oncology
General & Orthopedic Surgery
OB/GYN & Anesthesia
Ancillary Services
Pediatrics
and more
What They’re Talking About Us?
Dr. Sameer Hussain
“Before switching to WeCare, our claim denials were costing us both time and money. Within just two billing cycles, our clean claim rate surged to over 95 percent. Payments have started coming in faster, and we finally feel in control of our cash flow.”
Emily Carter
“As the manager of a growing behavioral health clinic, I needed a partner who could scale with us and adapt to changing payer policies. WeCare delivered on all fronts. Their team recovered over $30,000 in underpaid claims and reduced our A/R days from 38 to 17.”
Michael Ross
“With WeCare’s detailed reporting and monthly reviews, we stay informed and on track. Their credentialing team also helped us onboard two new providers without any delays. It's comforting to have such trustworthy support.”
Dr. Anjali Mehta
“We run a high-volume cardiology practice that involves complex procedures and unique payer rules. WeCare's expertise in specialized billing has been essential for our success. This team constantly keeps ahead of current trends and is dynamic and responsive.”
Frequently Asked Questions
Questions? We’ve got you covered
A medical billing audit is an in-depth evaluation of a healthcare provider’s billing and coding practices. It helps identify errors, ensure compliance with payer and government regulations, and uncover opportunities to improve revenue.
It is advisable to carry out coding audits at least once a year. However, quarterly or even monthly audits may be beneficial for practices with high claim volumes, new staff, or those in specialties with complex coding rules.
A medical coding audit focuses specifically on the accuracy of CPT, ICD-10, and HCPCS codes based on clinical documentation. A medical billing audit is broader and includes the entire claims process, from charge capture and coding to claim submission and payment posting.
After completing a medical billing audit service, we provide a detailed report with our findings, benchmarks, and actionable recommendations. Our team then works with you to implement corrective actions, provide staff training, and strengthen your overall revenue cycle.