Medical Bill Re-Audits
Independent Medical Billing Audits That Recover Overpayments and Keep Your Vendor Honest
Are you confident your medical bill review vendor is delivering on their promises?
Medical bill review is a valuable opportunity to recover overpayments and improve your bottom line, but relying solely on your current vendor may not be enough. Inaccuracies and non-compliance can still slip through, exposing you to financial and legal risk.
How Pro Global Helps
Pro’s Medical Bill Re-Audits provide an essential safety net. We go beyond a basic review to make sure your vendor is operating efficiently and compliantly and delivering the cost savings they promised, with accurate data and actionable insight to support your decisions.
What sets our Medical Bill Re-Audits apart?
We compare your data against industry standards to identify hidden opportunities for cost recovery that a standard review misses.
Our experts meticulously analyze bill adjustments to guarantee adherence to all relevant regulations and fee schedules.
We verify that all notices meet state-specific parameters, minimizing your legal exposure.
We assess your vendor’s processes and recommend best practices to streamline workflows and improve review efficiency.
Our proactive approach identifies overpayments that may have been missed by previous vendors, so your review process operates at its full potential.
Many medical billing audits focus solely on overpayments. Ours goes beyond the surface to maximize the benefit you get from your entire medical bill review process.
A Simple Proven Review Process
STEP 1:
Scoping & Data Collection
We agree the scope and gather bill review data, adjustments and notices from your vendor and your systems.
STEP 2:
Re-Audit & Benchmarking
Our experts re-audit bill adjustments, verify notices against state parameters and benchmark results against industry standards.
STEP 3:
Findings & Recovery
A clear report of overpayments to recover, compliance gaps to close and the savings your vendor should be delivering.
STEP 4:
Process Improvement
Recommendations to streamline your vendor’s workflows, with ongoing re-audits to keep performance and compliance on track.
What you can expect
A truly comprehensive medical bill review solution
“Through our proactive approach to Medical Bill Re-Audits, we have the capability to identify overpayments that may have been overlooked by previous vendors. Our expertise and unwavering commitment to compliance provide assurance that your medical bill review process is operating at its full potential.”
Pro Global Audit & Advisory team
Outcomes for your business
- Increased cost savings through recovered overpayments.
- Reduced compliance and legal risk.
- Improved review efficiency.
- Confidence that your reputation, brand and quality standards are protected.
How we work
- Industry benchmarking to find hidden savings.
- Expert review of every bill adjustment.
- State-specific notice verification.
FAQs
An independent second review of the work your medical bill review vendor has already done. We re-check bill adjustments, notices and outcomes to recover overpayments, confirm compliance and make sure the promised savings are real.
Vendors mark their own homework. A re-audit gives you an independent view of accuracy, compliance and performance, and typically identifies overpayments and savings the original review missed.
Our experts analyze adjustments against all relevant federal and state regulations and fee schedules, and verify that notices meet state-specific parameters.
A clear report of recoverable overpayments, compliance gaps, benchmarking against industry standards and practical recommendations to improve your vendor’s processes.
Beyond one-off recoveries, our process evaluation and best-practice recommendations streamline workflows, and ongoing re-audits keep your vendor delivering.
