Billing & Coding Audits
HRAA’s high-energy team motivates excellence and reimbursement proficiency through our customized, hands-on, strategy-focused and in-depth approach to the issues facing hospitals today and preparing them for tomorrow. While increasing profits for healthcare professionals remains a moving target, it’s paramount to focus attention on compliant reimbursement dollars.
HRAA's Subject Matter Experts Ensure that:
- Coding is performed correctly
- Accurate charges are hitting the bill
- Codes ‘falling off’ the bill or deleted by billing staff due to editing problems or a rejection are identified
- Third-party payer is correctly processing the claim
- Compliance guidelines for coding, billing, modifiers and medical necessity are met
Auditing Services include:
- Outpatient Revenue Cycle Audits
- Inpatient Revenue Cycle Audits
- CDM Analysis/Update/Reconstruction
- Free Standing Ambulatory Surgery Audits
- Customized Hospital Audits
HRAA designed the Verifier™, proprietary and patented leading technology suite of solutions for Outpatient and Inpatient claims audits.
