Your Practice's Missing Piece

Compliance Audits

Our Team is keenly aware of the nuances of each provider’s audit requirements, and our proven CBS multi-step compliance audit process is designed to protect your medical practice and reputation.

Your dedicated CBS consultant will diligently audit your medical billing program to ensure your consistent compliance with the myriad medical insurance policies of healthcare insurance partners such as Medicare, Humana, Blue Cross/Blue Shield, United Healthcare, and more.

Let us protect you from the burdensome paperwork, costly fines, and embarrassment that ensue when your accounting records, medical charts, or other documentation are cited by your insurance provider for non-compliance with their stringent requirements.

A Compliance Program that Meets CMS, ABC, and BOC Standards

Let CBS establish and maintain a strong compliance program for your medical practice that meets the accreditation and certification standards of agencies such as CMS (Centers for Medicare & Medicaid Services); ABC (American Board of Certification in Orthotics, Prosthetics, and Pedorthics); and BOC (The Board of Certification/Accreditation).

Our Team of medical billing and compliance consultants will ensure that you maintain the comprehensive documentation that these agencies require to meet their stringent requirements.

In addition to supporting your back-end billing and accounts receivable, we also ensure front-end success by obtaining authorizations and verifications, and offer claim scrubbing to ensure that your claims meet compliance standards prior to Medicare submission.

Proven CBS Performance: Our Audit Success Rate is 98%

This thorough compliance audit support is proven to be effective, as our team of CBS medical billing and compliance consultants consistently achieve a pass-rate of 98% on the audited claims we submit on our clients’ behalf.

Our team of medical billing and compliance consultants takes pride in their work to ensure the compliance of every claim they submit – so much so, that we measure our effectiveness on a tool that we call the CBS Report Card. The CBS Report Card is a medical practice management tool that includes, in part, a measurement of the pass/fail rate of the claims we submit on our clients’ behalf.

Compliance Audits Frequently Asked Questions

What is your success rate with prepayment audits?
For claims on which we have performed claim scrubbing to ensure compliance, CBS Medical Billing & Consulting, LLC compliance consultants consistently achieve an outstanding 98% audit pass rate.