Compliance & Coding Audits
We identify coding, documentation and operational compliance risks, correct the underlying workflow, educate the team and monitor improvement.
Compliance should not live in a binder. It should be built into how the practice documents, codes, bills and operates every day.
An audit should not end with a report. It should end with a corrected workflow.
Find the risk before it becomes a bigger problem
Small coding and documentation inconsistencies can become denials, lost revenue, payer recoupments or compliance exposure when they repeat across hundreds of encounters. Targeted audits show where the risk is occurring, what it is worth and what needs to change — in line with the auditing, monitoring, education and corrective-action elements of OIG compliance guidance.
What we review
Coding & Documentation
Are the services billed supported by the medical record?
Charge Capture & Modifiers
Missed charges, incorrect modifiers and coding inconsistencies.
APP & Physician Billing
Supervision, incident-to and provider billing workflows.
Procedures & Ancillary Services
Higher-risk services such as infusions, diagnostic testing and procedures.
Denials & Payer Patterns
Denial and payment patterns that point to recurring documentation issues.
Policies & Staff Education
Billing, documentation and operational policies turned into practical workflows, training and accountability.
Specialty matters
Compliance and coding risk looks different across neurology, cardiology, primary care and procedure-heavy practices. We review the services actually driving your practice — E/M coding, diagnostic testing, infusions, procedures and APP utilization — rather than applying a generic audit checklist.
Compliance that works in the real practice
Policies alone do not change behavior. We work with physicians, APPs, billers and practice teams to turn findings into clearer documentation expectations, better workflows and measurable follow-up. Where legal interpretation is required, we work alongside your compliance or legal counsel while focusing on operational implementation.
What you get
| Audit findings Issues, patterns and exposure |
Financial impact Missed revenue or potential risk, quantified where possible |
Corrective action plan Actions, owners and priorities |
Provider & staff education Tied directly to the findings |
Follow-up audit Verify that corrective actions are working |
A strong compliance program reduces preventable risk while supporting accurate documentation, appropriate reimbursement and consistent operations. We help build those controls into the day-to-day operation of the practice.