Overview
Audit & Compliance from Agile Nexus Solutions – handled by experienced US medical billing specialists, with clear reporting every month.
Skip to main content
- info@agilenexussolutions.com
- Open Hours: Mon - Fri: 9:00 AM to 5:00 PM
Audit & Compliance
Practices that want to find coding and billing risks before a payer audit does.
Who it's for
Practices that want to find coding and billing risks before a payer audit does.
How we do it
- 1We review a sample of charts against the codes billed.
- 2We check documentation, modifiers, medical necessity and payer rules.
- 3You receive a written report with findings and corrections.
- 4We train providers and staff on the findings and re-check later.
Frequently asked questions
How often should a practice be audited?
Many practices do an internal coding audit at least once a year, and after major code changes or new providers join.
Will an audit find money we are leaving behind?
Often, yes. Audits find under-coding and missed charges as well as risks.
Are audit results confidential?
Yes. Audits are done under a signed Business Associate Agreement and shared only with you.