Coding Compliance and Auditing Services

With the increased scrutiny being given to a provider's revenue cycle, it is now more important than ever to stay on top of the constant changes and updates with medical billing and coding. Denials, fraud, abuse, insurance recoupment, and the newly implemented ICD-10 can cost a provider thousands of dollars in lost revenue due to incorrect and inaccurate billing and coding.

MBU can help our clients to recover any potentially lost revenue due to these inaccuracies or missed coding opportunities. With a team of certified coders who have a solid understanding of ICD-10, CPT, HCPCS and the respective guidelines per specialty, MBU can provide Coding Compliance and Auditing services to confirm the integrity of a provider's current coding and documentation practices. Moreover, because of the demands for further coding specificity, coding accuracy and proper documentation, our team can also assist providers in identifying documentation errors or insufficiencies and offer providers recommendations on how to improve and correct clinical documentation in order to support their hard work and preserve the livelihood of their practice.

With periodic internal reviews for coding accuracy, guidelines and procedures, providers are not only able to provide better delivery of care, they are able to improve the financial health of their practice.


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Questions to ask
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    • How long they have been in business?
    • Are they locally owned and operated?
    • Ask if owners are involved in daily operations
    • Ask them about their safeguards from loss of revenue
    • Ask them about their Professional on-going training
    • Ask them about their onsite industry I.T. support
    • Ask them about custom financial reporting and profitability
    • Ask them about their specialty specific training of their billers
    • Ask them about their Certified Coding Audit Support
    • How do they plan to streamline your billing?
    • What is their employee retention rate?
    • Ask them about their Client Care Department
    • Ask them about their Accountability Clause
    • What are their success stories?
    • How many years of experience does the biller have?
    • How will my biller help me increase my revenue?
    • What is the specialty specific training my biller has received?
    • How can my biller manage daily tasks, denials and follow-ups?
    • How can the biller help with the growth of my practice?
    • Ask them about their experience with data analysis and custom financial reporting
    • How am I going to respond to I.T. issues? What can my biller do to minimize downtime?
    • Who is going to be accountable for loss of revenue?
    • How do they plan to streamline my billing process?
    • How does my biller guarantee uninterrupted revenue cycle?
    • How much time will I invest managing the billing?
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