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Medical Audit
At OMED, our Medical Audit Services are designed to help healthcare organizations ensure full compliance, improve documentation accuracy, and reduce risk. Whether you're a pharmacy, private practice, clinic, or multi-provider group, our audits are tailored to meet the unique regulatory and operational needs of your business.
What We Cover
✅ Regulatory Compliance Review
We assess your adherence to critical healthcare regulations such as HIPAA, Medicare/Medicaid billing rules, and state-specific laws. Our audits identify gaps in privacy practices, consent procedures, data handling, and reporting, helping you avoid costly penalties and legal risks.
✅ Billing & Coding Accuracy
Incorrect coding and billing can lead to revenue loss, delayed payments, or even fraud investigations. Our team performs a detailed audit of your coding practices, claim submissions, and reimbursement processes to ensure your billing is accurate, justified, and compliant with payer requirements.
✅ Staff Credentialing & Compliance
Are your providers properly credentialed and working within their licensed scope? We review licensing, certifications, and training documentation to verify staff compliance with current regulations. This protects your organization from liability and ensures all clinical services are delivered lawfully.
✅ Policies & Procedures Evaluation
Your policies should reflect both regulatory expectations and real-world practice. We evaluate your written protocols—including clinical, HR, and privacy policies—for consistency, clarity, and legal soundness. We’ll recommend updates to ensure your documentation supports your operations and your compliance efforts.
✔️ Why It Matters
A medical audit isn't just about catching mistakes—it's about creating a more efficient, secure, and financially soundhealthcare environment. Our expert team works collaboratively with yours to turn insights into action, helping your organization meet industry standards with confidence.
📞 Let’s Get Started
Whether you’re preparing for an external audit, responding to payer requests, or simply want to improve your internal controls, our Medical Audit services offer clarity and peace of mind.
Contact us today to schedule a consultation or learn more about how we can support your compliance goals.
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