Internal audit – a key to preventing revenue losses

Every day, hundreds of healthcare providers receive requests for additional documentation. In most cases, such requests include inquiries on the medical necessity of services or any other paperwork specific to a single appointment. Usually, the requested documentation gets processed quite quickly, and claims simply get paid in full. However, if such requests become systematic, insurance carriers may suspect an inconsistency in a provider’s billing pattern, or what is even worse – a payment integrity audit.

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