Up to 10% of U.S. healthcare spending, over $70 billion, is lost to billing errors and audit fraud. Inaccurate codes, underpayments, and overlooked modifiers drain revenue. HelloMDs’ Medical Billing Auditing Company improves clean claim submission rates and corrects billing gaps. Book a consultation, see what’s being missed before insurers do.
With medical coding updates released as often as twice a year, even experienced in-house teams fall behind. HelloMDs delivers comprehensive billing audit support designed for clinics, providers, and healthcare businesses across the US. Our experts perform detailed medical billing and coding reviews, audit of clinical documentation, and full revenue cycle management (RCM) analysis. We uncover missed revenue, correct modifier misuse, and offer custom audit services tailored to your specialty. With over 15 years of experience and a 99% clean claim ratio, we help practices move faster, stay compliant, and recover lost revenue. Book your free audit consultation today.
Decades of data-backed billing insight, not vague promises or recycled templates.
Our optimized revenue cycle model improves collection ratios without upselling fluff.
Achieve a 99% clean claims rate and 97% first pass ratio, we don’t guess, we validate.
We align claims, coding, and coverage for real cash flow optimization, not losses.
We reduce legal exposure through real fraud prevention in billing and legal risk reduction.
When practices outsource billing audits with us, we track overdue invoices, recover lost revenue, and improve accounts
Our team runs a claim denial audit to detect denial causes and increase accepted claim volume fast.
We isolate revenue loss causes like under-coding and help seal gaps with practice-specific billing solutions.
Our medical coders offer CPT and ICD code verification to fix misused codes and verify coding accuracy.
We perform full patient records verification and payment review to spot posting delays and missed reimbursements.
Our custom KPIs verification tracks metrics like collection ratios and medical coding services performance by specialty.
We start with aging AR analysis to check recoverable old claims from bad debt and unpaid balances. After this, we’ll let you know the recovery potential to optimize follow-up efforts and stabilize long-term revenue flow.
Our team performs a detailed documentation quality check, verifying service notes, modifiers, and timestamps for billing compliance. We audit for incomplete or mismatched documentation and close the gap.
Our audit runs a full verification of coding accuracy and checks CPT and ICD validation (with the latest rules). Medical codes change constantly, let us handle them to avoid payer rejections.
We review for compliance with payer guidelines, matching your claims to each carrier’s submission rules. This includes handling timing windows, documentation requirements, and bundling edits to prevent unnecessary rework.
Through deep denial management analysis, we map patterns, codes, and providers to reveal why claims fail. From procedural trends to overlooked rules, we build a fix-first plan tailored to your specialty.
Each audit concludes with a full compliance audit in medical billing, including HIPAA compliance and Affordable Care Act (ACA) audit checks.
Catch Under-coding (CPT 99214, 99215): Stop revenue loss by flagging missed levels of service in high-complexity patient encounters and follow-ups.
Uncover Reimbursement Gaps: We track itemized charges in your American hospital bill to detect undocumented services and billing mismatches.
Mitigate Legal Exposure: Reduce lawsuits tied to E/M upcoding or undocumented modifiers with tight compliance risk mitigation controls.
Error-Free Statements: Cleaner patient bills improve communication, reduce disputes, and lead to better patient satisfaction scores.
Stop Insurance Disputes: Our audits resolve billing issues that trigger insurance denials, before claims even leave your practice.
Stronger Cash Flow: Every audit improves enhanced billing accuracy and revenue increase, with fewer adjustments and faster reimbursements.
Every review tells a story. The insights and experiences shared by our clients drive us to improve, innovate, and deliver even better solutions. Here’s what healthcare professionals are saying about working with us.
HelloMD’s audit transformed our billing. Medical billing optimization flagged underpayments and fixed payment posting errors, dramatically improving our monthly collections.
Most billing leaks go unnoticed until it’s too late. A 20-minute medical billing audit with the help of HelloMDs could shift your entire margin. Let’s pinpoint what’s missing, quietly saving what your numbers aren’t showing yet.
We cross check E/M levels, modifiers, and supporting documentation to catch both undercharges and inflated charges before submission.
Through HIPAA checks, ACA review, and payer policy alignment to reduce legal exposure and audit penalties.
Yes—our team matches EOBs and deposits, identifying posting mistakes that block reimbursements and delay revenue.
Claims are evaluated for coding errors, eligibility issues, and payer-specific compliance to prevent denials before filing.
Our audit tracks denial patterns, updates coding rules, and addresses root causes to prevent recurring claim failures.
We analyze billing trends, track missed charges or lagging payments, and seal gaps in your revenue flow.
Absolutely, we modify KPI dashboards like days in AR, first-pass ratio, and clean claims, customized to your practice.
