What we audit
- E/M level distribution compared with specialty norms
- High-risk modifiers and code pairs
- Documentation supporting medical necessity
- Copy-forward and cloned documentation
- Incident-to and split/shared visit billing
Supporting your compliance program
Regular auditing and monitoring is one of the core elements of an effective compliance program described in the HHS Office of Inspector General's general compliance program guidance. Our audits give you documented results you can act on and keep on file.
Preparing for payer reviews
If you receive a records request or audit notice, we can review the requested records first so you understand your position and any corrective steps. For legal questions, consult your healthcare attorney.
Frequently Asked Questions
Are audit results confidential?
Results are shared only with your practice. Discuss privileged review arrangements with your attorney if needed.
Can you audit a single provider?
Yes. Focused audits for one provider or one service line are common.