Safeguard your practice from federal audits, payer recoupments, and costly compliance penalties. HealthNoVa provides rigorous reviews of your CPT, ICD-10, and HCPCS coding alongside documentation audits to eliminate compliance risks and ensure legitimate revenue realization.
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Protect your practice against payer clawbacks and compliance fines with comprehensive chart auditing by HealthNoVa’s certified coding specialists.
Healthcare providers face unprecedented regulatory scrutiny from Medicare Recovery Audit Contractors (RAC), the Office of Inspector General (OIG), and commercial payer auditors. Inaccurate modifier usage, unbundled CPT codes, and incomplete provider documentation can trigger severe financial clawbacks, civil monetary penalties, or immediate billing suspensions.
HealthNoVa shields your practice with proactive, thorough coding and compliance audits. Our certified auditors systematically review sample claims and provider chart notes to identify compliance exposure, fix systemic coding errors, and align your billing workflows strictly with federal guidelines and payer-specific Local Coverage Determinations (LCDs).
While over-coding creates audit risks, under-coding out of fear of non-compliance quietly drains your practice’s legitimate profits. Many providers routinely downcode evaluation and management (E&M) visits or skip minor billable procedures simply because they lack confidence in their documentation or complex modifier rules.
We bridge the gap between clinical documentation and maximum allowable reimbursement. Our coding review identifies under-billed services and missing modifiers – such as Modifier 25 or 59 – ensuring you capture every dollar earned without ever compromising compliance integrity.
We audit, review, and optimize every aspect of your clinical documentation and medical coding to ensure absolute audit-readiness.
In-depth reviews of medical records, superbills, and EHR encounter notes conducted by certified professional medical auditors (CPMAs).
Verification of accurate code specificity, current annual code set revisions, and correct primary versus secondary ICD-10 diagnostic sequencing.
Rigorous evaluation of modifier applications (e.g., 25, 59, XE/XS/XP/XU, 22, 26/TC) to prevent unbundling rejections and audit triggers.
Assessment of provider medical decision-making (MDM) and time documentation under current CMS E&M coding guidelines to prevent upcoding or downcoding.
Tailored feedback reports and documentation coaching for clinical staff to improve chart note specificity and support billable services.
Implementation of formal corporate compliance plans, regular internal auditing schedules, and corrective action protocols to mitigate regulatory exposure.
Partnering with HealthNoVa has completely transformed our practice's financial health. Their deep understanding of Revenue Cycle Management has drastically reduced our claim denials and accelerated our cash flow. It’s a huge relief to know our medical billing is being handled by true experts. Highly Recommended !!!
Let our RCM experts analyze your current billing processes, identify unpaid claims, and show you exactly where you’re losing revenue,completely free.
HealthNoVa simplifies medical billing with an industry-low 3% flat rate, 98%+ clean claim rates, and zero hidden fees so you can focus entirely on patient care.
