Comprehensive Medical Billing Audit Services
Medical organizations must fulfill compliance requirements to maintain financial health in the dynamic health insurance and billing landscape. That’s where MedsIT Nexus, a renowned medical billing audit company, comes in. Our auditing process is designed to identify errors and optimize workflows accurately for both the hospital's and physicians' claims processes, ensuring that you operate more efficiently and confidently in a competitive market.
Our Specialties
Accomplish Rapid Growth
Billing complications slow down operational efficiency. Get rid of the hassle with our qualified billing experts and boost your revenue
Get a QuoteHealthcare Institution Billing Audits
Medical billing and reimbursement for the hospital facility come with their own challenges. Dealing with these complications needs experience and expertise in institutional claims processing. Avoid all the complications with our audit experts, who deeply examine every document to ensure error-free claims submission and smooth reimbursements.
Healthcare Professional Auditing & Billing
Our expert auditing team reviews the physician's claims and eliminates all the errors before filing them. We cover the category of physician specialties practicing under different business models, including independent private practices and provider-based small physician groups. Our audit services identify discrepancies and address billing inefficiencies to increase profitability and revenue
Precise Coding For Off-Label Treatments
Some prescribed treatments are not approved by regulatory bodies, present coding and billing challenges, and demand the justification of medical necessity. MedsIT Nexus has a dedicated team of experienced auditors who fulfill the payor requirements and verify that the coding accurately reflects the necessity of treatment, resulting in lower claim rejections and higher reimbursement.
Regulatory Compliance Assurance
Verifies that prescribed treatments meet regulatory standards and justify medical necessity.
Accurate Coding for Treatments
Ensures coding reflects the necessity of treatments, fulfilling payer requirements.
Reduced Claim Rejections
Proper documentation and justification minimize claim rejections and improve reimbursement outcomes.
Simplifying Outpatient Billing Services
Medical billing and reimbursement vary by outpatient facility settings. Provider-based networks require expertise in institutional billing and coding systems, while freestanding facilities need professional billing and claims processing knowledge. MedsIT Nexus ensures accurate billing and efficient claims management across both systems, optimizing reimbursement and reducing errors.
Expertise in Provider-Based Billing
Ensures accurate institutional billing and coding for provider-based networks, reducing errors.
Private Facility Billing
Specializes in professional billing and claims processing for freestanding settings, optimizing revenue.
Efficient Claims Management
Streamlines billing and claims processes to maximize reimbursement and minimize denials.
Our Medical Billing Audit Process
MedsIt Nexus understands the value of a comprehensive audit and implements the process to rectify errors in the billing process. We combine our decades of knowledge, expertise and latest technology to run a successful check on the billing process.
- Comprehensive Data Gathering Collecting patient records, billing statements, and insurance claims to ensure a thorough audit.
- Error Identification Detects discrepancies early to prevent claim denials and billing inaccuracies.
- Optimized Reimbursements Ensuring accurate data minimizes revenue loss and enhances claim approval rates.
Ready to enhance your billing accuracy?
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- Precise Code Validation Ensures CPT, ICD-10, and HCPCS codes align with industry compliance standards.
- Error Identification Detects under-coding, over-coding, and missing modifiers that may affect reimbursements.
- Improved Workflow Efficiency Reduces claim delays, saves time, and enhances operational productivity.
Boost your practice profit with us
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- Error-Free Claim Submission Identifies and eliminates errors that could lead to claim denials or delays.
- Revenue Cycle Optimization Enhances reimbursement speed and maximizes financial performance.
- Operational Efficiency Boost Streamlines the submission process for smoother and faster claim processing
Streamline your billing operations
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- Compliance Assurance Ensures adherence to HIPAA and Medicare guidelines to prevent regulatory violations.
- Error Detection Identifies inaccurate documentation and false billing practices that may lead to penalties.
- Risk Mitigation Helps healthcare providers avoid compliance risks and financial liabilities.
Protect your practice from penalties
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- Revenue Leakage Identification Detects underpaid reimbursements and denied claims to recover lost revenue.
- Accounts Receivable Optimization Resolves payment discrepancies and streamlines the collection process.
- Accurate Payment Reconciliation Ensures billed amounts match received payments for financial transparency.
Simplify your billing operations
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- Detailed Error Reports Provides a clear breakdown of billing inaccuracies and areas needing improvement.
- Actionable Insights Offers strategic recommendations to enhance billing accuracy and maximize revenue.
- Process Optimization Helps implement best practices for a more efficient and compliant billing system.
Uncover hidden billing revenue
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![Initial Verification]()
Initial Verification
Our in-depth audit process begins with data collection and verification. We gather everything including patient records, billing statements, and insurance claims. This initial step helps us to find discrepancies and minimize the chances of claim denials.
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![Comprehensive Coding Assessment]()
Comprehensive Coding Assessment
Our in-house experts closely review the CPT, ICD-10, and HCPCS codes to maintain industry compliance. They double-check the documents to identify under-coding, overcoming, and missing modifiers that can delay reimbursements. This detailed audit helps us find mistakes save valuable time and improve operational productivity.
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![Claim Submission Analysis]()
Claim Submission Analysis
Claim submission is crucial to faster reimbursements and higher profits. Our experts analyze the claim submission process and pinpoint the errors. With accurate identification practices, we offer insights to help you enhance operational efficiency and maximize the revenue cycle.
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![Compliance Review]()
Compliance Review
MedsIT Nexus team assesses every document and looks for inaccurate documentation, compliance risk, or false billing practices. We ensure that your billing practice follows HIPAA and medicare guidelines. This step ensures healthcare providers follow government regulations and avoid unwanted penalties.
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![AR and Payment Posting]()
AR and Payment Posting
We cross-check outstanding claims, remaining payments, and denied claims to prevent revenue leakage. Our team optimizes your account receivable process by solving the discrepancies in the payment posting following up on unpaid claims, and ensuring accurate reconciliation between billed and received amounts.
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![Transparent Reporting]()
Transparent Reporting
After completing the audit, we generate comprehensive reports indicating errors and necessary actions. Our team provides recommendations to improve billing accuracy and revenue collection. MedsIT Nexus supports healthcare providers in implementing best practices for a streamlined, compliant, and profitable billing process.
Initial Verification
Comprehensive Coding Assessment
Claim Submission Analysis
Compliance Review
AR and Payment Posting
Transparent Reporting
Boost Your Revenue with Medical Billing Audit
Medical practices are prone to fraudulent activities, causing massive revenue loss. MedsIT Nexus has in-house medical audit experts to help you avoid unwanted penalties and strengthen revenue streams while focusing on top-quality patient care.
Compliance Assurance
A medical audit helps healthcare practices maintain accuracy and transparency. Failure to maintain appropriate documentation leads to legal consequences and costly penalties. MedsIt Nexus is here to help providers deal with such problems and maximize revenue while focusing on patients' treatment.
Avoid penalties and secure revenue
Streamlines Claims Processing
Slow and error-prone claims can drain your revenue. MedsIT Nexus' RCM Analytics empowers healthcare providers to streamline claims submission, reduce errors, and expedite reimbursements with precision-driven insights.
Eliminate Claim Bottlenecks!
Lowers Denial Rate
High denial rates mean lost revenue and delayed payments. MedsIT Nexus’ RCM Analytics helps healthcare providers identify and eliminate the root causes of claim denials, ensuring more claims are approved on the first submission.
Prevent denied claims!
Data-Driven Decision Making
In healthcare, smart decisions drive financial success. MedsIT Nexus’ RCM Analytics transforms complex data into actionable insights, helping providers optimize revenue, reduce inefficiencies, and enhance financial strategies with confidence.
Transform data into Results!
Compliance Risk Mitigation
MedsIT Nexus’ Revenue Cycle Analytics provides real-time compliance monitoring, ensuring that your billing and coding practices align with the latest industry standards to safeguard your revenue and reputation.
Compliance made simple!
Financial Performance
In today’s fast-evolving healthcare landscape, financial stability is crucial. MedsIT Nexus’ Revenue Cycle Analytics empowers healthcare organizations with actionable insights to optimize revenue streams, reduce costs, and enhance long-term RCM performance.
Make smarter financial decisions!
Financial Performance
In today’s fast-evolving healthcare landscape, financial stability is crucial. MedsIT Nexus’ Revenue Cycle Analytics empowers healthcare organizations with actionable insights to optimize revenue streams, reduce costs, and enhance long-term RCM performance.
Make smarter financial decisions!
Maximize Revenue and Ensure Accuracy with MedsIt
Regulatory Compliance
Ensures adherence to healthcare laws to avoid legal risks and penalties.
Error Prevention
Identifies documentation gaps to maintain accuracy & transparency
Revenue Protection
Reduces financial losses by correcting compliance issues before they impact reimbursements
Compliance Assurance
A medical audit helps healthcare practices maintain accuracy and transparency. Failure to maintain appropriate documentation leads to legal consequences and costly penalties. MedsIt Nexus is here to help providers deal with such problems and maximize revenue while focusing on patients' treatment.
Avoid penalties and secure revenue
Call us at +1 (516) 665-1869 or get a medical audit expert.
93%
72%
94%
80%
Doctors lose up to
$125Billion in U.S
Because of poor billing practices
Experience our secured
medical billing services
for as low as 2.69%
2000+
Healthcare providers trust MedsIT Nexus
medical billing services company
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Our revenue cycle experts Identify gaps & unlock higher profitability
Our services are trusted by 2000+ providers
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain Management
"After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Physical Medicine & Rehabilitation
"I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain
" After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Rehabilitation
" I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
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