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Our experts evaluate the completeness and accuracy of your patient records, coding, and billing documentation to ensure they align with established standards and guidelines.
We will verify the appropriateness of medical codes assigned to diagnoses and procedures, ensuring compliance with coding systems such as ICD-10 and CPT.
Our medical billing experts examine the process of capturing and recording billable services to confirm that all eligible services are appropriately documented and billed.
We will review the accuracy and timeliness of claims submissions to insurance companies, checking for completeness and adherence to specific payer requirements.
We will confirm that payments received match the expected reimbursement amounts, identifying any discrepancies that may require investigation.
Our A/R experts assess the status of outstanding accounts receivable, identifying and addressing any issues that may be causing delays in payment.
Ensure adherence to relevant healthcare regulations, billing guidelines, and contractual obligations with payers to avoid legal and financial risks.
Verify that healthcare providers are properly credentialed with insurance companies, reducing the risk of claim denials.
We have complete strategies for handling claim denials or underpayments, including the preparation and submission of appeals when necessary.
Stars Pro billing auditors have extensive experience in healthcare billing and compliance, ensuring your healthcare practice benefits from the most accurate and up-to-date advice from certified professionals.
We tailor our audit services to fit your specific needs, addressing the unique challenges of your practice.
We provide detailed reports that highlight areas for improvement, enabling you to make informed decisions about your billing and coding processes.
With our services, you can focus on providing excellent patient care, knowing your financial processes are in expert hands.
Our services are designed to provide a significant return on investment by increasing revenue and reducing compliance-related penalties.
Stars Pro® Medical Billing inventive model is one of the fastest growing physician practice communities in the United States. We are dedicated to lashing change in the medical community by providing progressive, state-of-the-art solutions. Through our Channel Partnerships.
