Pre-Bill Audits

Pre-bill audits are a vital tool for healthcare organizations to ensure compliance and optimize revenue. These audits play a crucial role in identifying coding and billing errors before claims are submitted, minimizing the risk of denials, audits, and penalties. At Asandum, we offer tailored pre-bill audit services to meet the specific needs of each organization. Our team of experienced professionals collaborates closely with clients to develop a customized audit plan that addresses their unique challenges and objectives.

• Conducting a thorough analysis of revenue cycle processes and identifying areas where revenue leakage may occur.
• Ensuring that all services provided are appropriately coded and billed in accordance with payor requirements and industry standards.
• Streamlining billing and collections processes to minimize delays and reduce the risk of denied or rejected claims.
• Improving patient registration and insurance verification processes to ensure accurate and timely billing and collections.

• Conducting regular audits of claims and billing processes to ensure compliance with payer requirements and industry standards.
• Ensuring that all required documentation is complete, accurate, and submitted in a timely manner to support claims.
• Providing ongoing training and education to staff on payer policies and procedures, as well as best practices for claims submission and management.

• Conducting regular coding audits to identify areas of improvement and ensure compliance with coding guidelines and regulations.
• Providing ongoing education and training to coding staff to improve their skills and knowledge of coding guidelines and regulations.
• Implementing coding software and technology to assist coders in selecting appropriate codes and reducing coding errors.
• Developing and maintaining a coding compliance program to ensure that all coding activities are consistent with applicable laws and regulations.

• Conducting regular process audits to identify areas where processes can be streamlined or improved.
• Analyzing data and metrics to identify patterns or trends that indicate areas where staff education or training may be needed.
• Soliciting feedback from staff to identify areas where they feel they need additional support or training.