Below are some of the ways that National Audit sets itself apart from the competition:
Experience
Auditing since 1987
Owners have combined 90+ years of healthcare industry experience
Owners have first-hand knowledge of claims payment environments
having held senior management positions within large, national health plans
Nurse auditors bring an average of 10 - 15 years of both clinical and auditing experience
Staff certifications and licensures include Registered Pharmacists (RPh), Certified Pharmacy Technicians (CPhT), a Doctor of Pharmacy (Pharm.D.), Registered Nurses (RN), Certified Coding Specialists (CCS), Certified Professional Coders (CPC), a Registered Health Information Administrator (RHIA), a Registered Health Information Technician (RHIT), Claims Adjusters and a Physician, the majority of who individually have 15+ years experience in health care.
Staff has experience with a wide variety of reimbursement platforms as
well as knowledge of all claim types
Service and Flexibility
Service model is to create audit programs and processes tailored to each individual client
National coverage - nurse auditors located throughout the U.S. allows service of clients both nationally and regionally
On-site auditing including facility representative approval of audit findings, thereby facilitating overpayment recovery
Ability to perform overpayment recovery services
Integrity
Audits are designed to be accurate and unbiased payment validations, thereby eliminating the negative connotation
that is often associated with any kind of auditing function
This lends itself to being able to maintain superior relationships with clients' providers
Results
National Audit has the highest client retention rate in the industry
Clients state that National Audit's performance surpasses that of it's competition
Data Security All National Audit infrastructure is housed in a SAS 70 Certified Data Center
Strategically located out of severe weather and seismic zones
24-7 Monitoring with 99.999% Up-Time SLA (Service Level Agreement)
Ballistic Proof Walls, Doors and Windows
Three Tier 1 Carriers for Redundancy
National Audit operates in a secured lock down environment:
User Access only through Terminal Services
C Drives, A Drives and USB ports are all disabled
No Local Data Storage on Local Servers, Desktops or Laptops
Data Transfers National Audit can support a wide variety of secure data transfer methods:
PGP Encryption
SFTP - Secure File Transfer Protocol
E-Mail Encryption - Utilizing Zixcorp, a leader in e-mail encryption, National Audit has deployed
the Healthcare Lexicon that automatically detects and encrypts any e-mails that could possibly contain
confidential information
National Audit Web-Based Audit Information System
Real-time, online access to current and historical audit data, right down to the individual audit level
Snapshot and trend information/reports available by hospital group, facility, and department
Customizable reports on request with ad hoc reporting feature to be added in the near future
Performance parameter tracking: % overcharges identified, % claims selected, audit turnaround time, etc.
Detailed PDF documents of completed audits are available online
NATIONAL AUDIT Providing health care claims payment validation
services since 1987.
National Audit, a Florida-Certified Minority Business Enterprise (MBE), provides the most complete array of health claim audit programs in the industry, including hospital bill/medical charts; DRG validation; itemized bill; APC validation; non-facility-based high cost drug, home infusion and specialty pharmaceuticals; durable medical equipment; and skilled nursing facility auditing services.
Jacksonville • Hollywood • Lancaster • Raleigh • Green Bay
