At DualPoint, coding accuracy is at the core of our auditing services. We conduct a detailed review of medical charts to ensure all assigned codes align with the diagnosis, procedures performed, and documented complexity. Proper coding is critical for correct reimbursement and regulatory compliance. Our audits uncover issues such as upcoding or undercoding and provide actionable recommendations. With our support, providers can be confident their coding meets industry standards while capturing the full value of services delivered.

Charge capture errors are one of the leading causes of lost revenue. Our team validates that every service performed and supply used is accurately captured and billed at the proper rate. By comparing documentation against itemized billing statements, we identify missed charges and recommend process enhancements. The result: reduced revenue leakage and maximized reimbursement for legitimate services rendered.

Complete and accurate documentation is the foundation of compliant billing. Our audits assess whether medical records sufficiently support the coded claims. We flag issues such as vague or inconsistent notes, missing signatures or credentials, and gaps in medical necessity documentation. Alongside identifying risks, we provide practical guidance to strengthen documentation practices, ensuring providers are well-prepared for payer reviews and external audits.

Beyond coding and documentation, we examine the accuracy of provider–payer contract application and fee schedule use. Data entry errors or outdated fee schedules can significantly reduce reimbursement. Our audits verify alignment with payer agreements and highlight process improvements that boost billing accuracy. By addressing these areas, we help providers enhance claim quality, compliance, and overall revenue integrity.