Medical Billing & Coding Audit Services
You work hard to provide quality care to your patients, but are you getting paid what you deserve? Errors in medical billing means lost revenue, denied claims, and legal troubles.
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Proven Practice Excellence & Financial Impact
You work hard to provide quality care to your patients, but are you getting paid what you deserve? Errors in medical billing means lost revenue, denied claims, and legal troubles.
NovaMedex offers healthcare coding and compliance audit services for healthcare providers. Our experienced billing auditors review a provider’s billing codes for accuracy, compliance, and optimization with real-time issue resolution.
- 98% First-Pass Clean Claims: Multi-tiered pre-submission scrubbing eliminates payer rejections before delivery.
- AAPC & AHIMA Certified Coders: Specialty-fluent coding safeguards clinical documentation and audit compliance.
- Aged AR Resolution: Relentless appeals and follow-up on claims aged 60, 90, and 120+ days recapture lost revenue.
Key Performance Indicators
Our track record across healthcare providers nationwide speaks for itself:
End-to-End Practice Management Solutions
Every element of our clinical billing service is crafted to eliminate delays, protect cash flow, and ensure HIPAA compliance.
Coding Accuracy Review
Comprehensive chart reviews evaluate CPT, HCPCS, and ICD-10 code selection against clinical provider documentation to eliminate undercoding and overcoding risks.
Revenue Leakage Analysis
Identify missed charges, unbilled procedures, and recurring fee schedule underpayments to recapture lost practice revenue across all major commercial payers.
Payer Compliance Auditing
Ensure your billing protocols strictly comply with CMS, Medicare, and OIG guidelines, shielding your clinical staff against costly federal audit penalties.
Denial Root-Cause Audit
Pinpoint systemic claim denial patterns, recurring front-desk intake errors, and clearinghouse submission bottlenecks to permanently reduce rejection rates.
Fee Schedule Benchmarking
Compare your contracted insurance reimbursement rates against regional market averages to optimize reimbursement during annual commercial payer contract renegotiations.
Actionable Audit Report
Receive a detailed executive summary with clear, itemized recommendations and staff training roadmaps to protect practice cash flow long-term.
In-House Billing vs. NovaMedex Partnership
Compare the costs, risks, and performance between conventional in-house billing and our outsourced billing model.
In-House Billing
- High staffing costs: salaries, health insurance, 401(k), and paid time off.
- Turnover disruptions: claims stall when billing staff leaves or takes sick leave.
- Expensive software licensing, clearinghouse fees, and continuous IT support.
- High denial rates (10-18%) due to lack of specialty-certified coding expertise.
- Slow aged AR recovery: old unpaid claims often written off as bad debt.
With NovaMedex
- Low, all-inclusive 2.49% fee based entirely on collections. You pay only when you get paid.
- Uninterrupted continuity: team of certified backup billers eliminates staffing risk.
- Free cloud EHR, PMS, and clearinghouse connection included at zero cost.
- 98% first-pass clean claim acceptance with certified AAPC medical coders.
- Dedicated AR recovery team relentlessly appeals and recovers aged claims.
Frequently Asked Questions
Common questions healthcare practices ask when partnering with NovaMedex.
Our onboarding team can fully integrate with your practice in as few as 5 to 7 business days. We coordinate EDI enrollments, software setup, and staff workflow orientation smoothly without disrupting your daily patient care.
No. While we provide free cloud EHR and PMS software, our certified billers and coders are experienced across all major healthcare EHRs including Epic, Cerner, eClinicalWorks, Athenahealth, Kareo, NextGen, and AdvancedMD.
Our transparent medical billing fee starts at just 2.49% of monthly collections. We do not charge upfront onboarding fees or software license fees. We only earn when you receive reimbursement.
Every rejected or denied claim is reviewed within 24 to 48 hours by our specialized denial management team. We perform root-cause resolution, correct coding or demographic issues, and submit formal payer appeals immediately.
Yes. All NovaMedex operations, cloud infrastructure, and data handling protocols adhere strictly to HIPAA and HITECH security standards with full 256-bit encryption and signed Business Associate Agreements (BAAs).
Ready to Accelerate Your Practice Collections & Eliminate Denials?
Connect with a senior NovaMedex revenue cycle consultant for a free, comprehensive billing audit and revenue projection.