Recover Lost Revenue with Our
Medical Billing Audits

Identify revenue leaks, ensure compliance, and optimize your billing processes with our expert audit services. Recover lost revenue and prevent future billing errors.

Expert Medical Billing Audit Services

Medical billing errors can cost your practice thousands of dollars annually. From incorrect coding and underbilling to compliance violations and missed charges, these issues directly impact your bottom line.

Wisconsin Medical Billing Company offers comprehensive medical billing audit services designed to uncover:

  • icon Hidden revenue opportunities
  • icon Identify compliance risks
  • icon Streamline your billing operations

Our certified auditors have over 10 years of experience analyzing revenue cycles for healthcare practices throughout Wisconsin.

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Our Medical Billing Audit Services 

We offer comprehensive audit solutions tailored to identify revenue leakage and ensure
compliance across your entire billing operation.

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Revenue Cycle Audits

Our team conducts an analysis of your entire revenue cycle, from patient registration through final payment. We identify bottlenecks and inefficiencies that impact cash flow and reimbursement rates.

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Coding Compliance Audits

Our detailed review of CPT, ICD-10, and HCPCS coding accuracy to prevent downcoding and upcoding errors. Also, we ensure compliance with requirements that could trigger penalties or audits from payers.

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Charge Capture Audits

Identification of missed charges, undercharges, and unbilled services to recover lost revenue. We ensure every billable service is properly documented and charged.

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Claims Denial Analysis

We perform root cause analysis of denied claims patterns to identify systemic issues in your billing process. And implement preventive measures that reduce future denials by up to 70%.

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Documentation Review

We assess clinical documentation completeness and accuracy to support proper coding levels, defend against payer audits and take-back requests, and ensure compliance with regulatory requirements.

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Compliance Audits

We do a comprehensive evaluation of billing practices against federal regulations, HIPAA requirements, and payer-specific guidelines to minimize audit risks and avoid costly penalties.

Why Choose Our Audit
Services?

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Our auditors hold AAPC and AHIMA certifications with specialized training in medical billing compliance, coding accuracy, and revenue cycle optimization.  

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Over 10 years of experience conducting audits for healthcare practices across Wisconsin, covering 50+ medical specialties and diverse practice sizes.

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Our clients typically see 25-40% revenue improvement within the first year following audit recommendations implementation.

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We examine every aspect of your revenue cycle, from front-end processes to back-end collections, ensuring no revenue opportunity is missed.  

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Beyond identifying problems, we provide specific, prioritized recommendations with clear implementation guidance and expected ROI.  

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HIPAA-compliant audit processes with strict confidentiality protocols ensure your sensitive practice and patient data remain protected.

Our Comprehensive Audit Process 

Our systematic approach ensures thorough analysis and actionable
recommendations for your practice.

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Initial Assessment

We review your current billing processes, systems, and pain points to customize the audit scope to your specific needs and concerns.

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Data Collection

Our team securely accesses billing records, claims data, and documentation to conduct a comprehensive review of your revenue cycle operations.

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Detailed Analysis

Certified auditors examine coding accuracy, charge capture, claim submission processes, denial patterns, and compliance with industry standards.

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Findings Report

We provide a detailed report documenting all findings, including specific errors, missed revenue opportunities, compliance risks, and process inefficiencies.

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Action Plan

Receive prioritized recommendations with clear implementation steps to address identified issues and optimize your revenue cycle performance.

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Follow-Up Support

We provide ongoing support to help implement changes, train staff, and monitor improvements to ensure sustained financial performance enhancement.

Benefits of Our Audit Services

  • icon Revenue Recovery
  • icon Reduced Claim Denials
  • icon Improved Compliance​
  • icon Enhanced Efficiency
  • icon Staff Training Insights 
  • icon Risk Mitigation 
  • icon Increased Cash Flow 
  • icon Data-Driven Decisions 
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Discover Hidden Revenue Opportunities in Your Practice

Schedule a comprehensive medical billing audit today. Our expert auditors will identify areas for improvement and provide actionable solutions.