Problem
A client faced challenges with incorrect billing for a transforaminal epidural steroid injection at the L4-L5 and L5-S1 spine levels. The issue stemmed from using an "unlisted" code, requiring manual lookup and cross-referencing to identify the correct billing code, leading to potential overpayments.
Solution
AuditPro was implemented to address this challenge with precision and accuracy. Our system seamlessly integrates with SmartAdvisor, meticulously reviewing medical bills and notes to identify correct codes. By applying its proprietary auditing solution, AuditPro scrutinized the unlisted code scenario, ensuring an accurate comparable code was utilized.
Outcome
The deployment of AuditPro resulted in a 92% reduction in billing errors for the client. This not only mitigated unnecessary costs but also reinforced their trust in the accuracy and efficiency of their medical billing process
