Billing & Compliance Audit Reviews
Protect your practice before billing problems become costly problems. ClearPoint Healthcare Solutions provides independent billing and compliance audit reviews designed to identify documentation deficiencies, coding inconsistencies, payer compliance concerns, and revenue-cycle risks.
A thorough, independent look at your billing.
Our reviews may include:
- Medical record and claim comparison
- CPT/HCPCS and ICD-10 review
- Documentation support and medical necessity
- Modifier and place-of-service review
- Authorization and eligibility compliance
- Telehealth billing requirements
- Provider enrollment and credentialing issues
- Denial and rejection trends
- Duplicate, unbundled or potentially incorrect billing
- Overpayment and credit-balance indicators
- Payer-specific billing requirements
- Corrective action recommendations
Available for practices of all specialties.
Audit reviews are available for practices of all specialties, including specialized reviews for behavioral health organizations — psychotherapy, psychiatric services and Medicaid behavioral-health billing.
Clear findings. Practical next steps.
Every audit includes a written findings report and corrective action recommendations designed to help your organization strengthen compliance and improve billing accuracy.
Written Findings Report
A clear, documented summary of what the review identified — organized so you can act on it.
Corrective Action Recommendations
Practical steps to address deficiencies, tighten workflows, and reduce future risk.
Compliance Audit Reviews starting at $350.
Fixed-scope reviews with defined deliverables. Final pricing is confirmed in a written scope before work begins and depends on the number of providers, claims or encounters reviewed, payers, and areas selected.
Common questions
Do you need access to our billing system?
Most reviews begin with documentation and claim samples you provide. ClearPoint will outline exactly what is needed, and a Business Associate Agreement is executed when services involve protected health information.
How is this different from the free assessment?
The complimentary assessment is a 30-minute introductory conversation. An audit review is a fixed-scope engagement that delivers a written findings report with corrective action recommendations.