Dental Record Auditing

Your records hold more than just your clinical assessment of your patients. Patient records hold the key to your coding and billing, which in turn controls how much profit you make every year. When you have a variety of staff inputting data into your patient records, it is inevitable that records are not 100% accurate. With our compliance specialist team, we will audit your records as a neutral party so you don’t have to.

Most of the time it takes an outside source to look through your records with a fresh set of eyes. While you may understand coding procedures, it is possible that your methods of billing and coding are outdated. We will look through your records and make sure that what you bill for services matches your patient records, and what you receive is in line with the bills you have submitted to insurance companies.

Dental Billing Audit Services

While you want to trust the staff you employ to do your billing, it is always reassuring to have an outside agency to come in and audit your billing files. You may discover that a staff is not billing correctly, or that there are some differences in what has been billed and what has been paid to your practice. An audit completed by our company can reassure you that your staff are truly trustworthy, or we may discover some internal problems that need to be addressed.

We will look through your system to ensure that all of your billing codes are up to date, and that all patient treatments are billed correctly. We often find that dental practices don’t bill for all the services they perform, and this creates a loss in your overall profit. To get your patient records in compliance with all state and federal regulations, we recommend at the minimum a yearly audit of all of your patient records.

When you are ready to make sure your practice records are in compliance, our experienced staff are waiting for you to make the call. Together we will address any problems found in your charting, and we will make suggestions based on our years of experience in patient records for dental offices.

Read more on Dental Record Audits

Dental chart auditing and coding reviews are essential in order to maintain a compliant dental practice and assure correct charge capture and billing practices. Chart audits may also serve to identify missed billing opportunities that may result in more $$ for your practice.

Chart audits serve a multitude of purposes including; protection against fraudulent billing, identification of the use of out-dated codes and other coding issues, pinpointing of documentation issues before Medicaid or other insurance carriers challenge your billing practices,…and the list goes on.  Dental Compliance Specialists is staffed with clinical and non-clinical auditors who understand the nuances of dental billing and compliance.  Trust your external audits to the experts at Dental Compliance Specialists for your paper or electronic chart audits!

Who Needs Chart Audits?

The simple answer is anyone who bills private insurance or government programs. We are all aware that government agencies are notorious for their record audits and billing reviews. Well, the private insurance agencies are jumping on board and we are getting calls of payment holds being issued from private insurance carriers against providers for record keeping errors and omissions.

Discover where you may be missing revenue, the strengths and weaknesses of your documentation and record keeping practices.Maximize your collections (legally), minimize losses, ensure that your records will ACTUALLY support you when, not if, they are scrutinized by the government and third-party payers.

Be proactive about protecting your practice. Audit continually (internally and externally). Start today! Call us at (888) 994-4744.

We make record audits painless! We don’t work for insurance companies or government agencies and we do not assess fines or penalties, which reduces your risk of exposure for ‘outing’ your mistakes. Because we work FOR dentists you can be assured we exist to help you build a wall around your practice. Our staff has many years of experience in compliance investigation and risk management and are pros at teaching dentists how to create records that support their dentistry and are defensible in the face of fraud allegations or malpractice claims.

Chart Audits typically help you:

  • Identify incorrect coding in your billing submissions that can lead to unintentional misrepresentation of services provided.
  • Identify improperly “up-coded” services and overpayments that could result in liability under the False Claims Act and incur fines and exclusion from the program, which means you will not longer be able to bill  Medicaid and/or Medicare in the future.
  • Identify under-payments for services rendered and missed billables – to help you identify legitimate billings for services you provided and rightly earned.
  • Identify documentation errors and omissions that could render your billing null and void! Learn to keep what you legitimately earned.
  • Identify outliers and potential red flags from Insurance Auditors and Government agencies.

Our specialists review your patient records and claims to make sure your records are spot on!