Compliance & Audit
Healthcare regulations and payer rules change constantly, and a single coding or documentation gap can lead to denials, recoupments or penalties. eServMD's compliance and audit team reviews your billing operations end to end, finds risks before payers do, and helps your practice stay compliant and audit-ready.
Our experienced auditors review your claims, coding and documentation so you can bill with confidence and keep the revenue you earn.
We perform regular chart and coding audits, compare your billing against current CPT, ICD-10, HCPCS and payer guidelines, and deliver clear reports with corrective actions and staff education. Whether you are preparing for a payer audit or simply want peace of mind, we help you close gaps, reduce denials and protect your practice.
Services Included
Coding and documentation audits (pre-bill and retrospective)
HIPAA compliance review and risk assessment
CPT, ICD-10 and HCPCS coding accuracy checks
Modifier usage and medical necessity review
Payer policy and LCD/NCD compliance checks
Billing compliance and claim accuracy review
Payer and OIG audit preparation and support
Detailed audit reports with corrective action plans
Staff training and education on audit findings
