The Hospital Bill Audit, also called a medical chart audit or hospital charge audit, validates proper payment of hospital bills for payers by conducting a line-by-line comparison of the itemized bill to the corresponding medical records to verify that all goods and services that were billed were both prescribed and administered in the specific levels and quantities specified.

Hospital Bill Audits is typically aimed at claims reaching certain charge or catastrophic thresholds. payers also may identify hospitals that have shown an increase in charge base or when contractual changes have resulted in more carve-outs or pass-through charges.

Despite computer-assisted charting and charge functions, there still is great potential for identification of billing errors due to lack of appropriate crediting, missing physician orders and internal hospital protocols that are not documented or ordered by the physician. Our audit programs are specifically designed to closely scrutinize and assist in the control of these costly errors.

National Audit is committed to the delivery of quality services to its clients. The National Audit team is comprised of nurse reviewers who are experienced in analysis of ICD-9 and CPT-4 coding as it impacts hospital billing audit. National Audit's staff have an average of 15 to 20 years of health care and claims management experience.