An audit is not always a negative thing, especially when it comes to workers' compensation medical bill review, where unchecked billing errors can have a significant impact on an organization's bottom line. Potentially inaccurate billing practices are difficult to identify with an untrained eye — though they could be significantly increasing payors' total medical spend on workers' compensation claims.
Auditing — a crucial but often forgotten or under-executed part of the claims process — can help payors identify questionable billing practices and prevent overpayment on workers' compensation claims.
How does auditing help?
It's very easy for payors to end up overpaying on medical bills. Here's a typical example of how it happens and how an audit could help:
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