Optimizing Billing Accuracy Through Strategic Audit Practices in 2025

Session Overview

In today’s dynamic healthcare environment, maintaining precise billing practices is not just important—it’s essential. A well-functioning billing process is the backbone of an organization’s financial stability. Routine audits of billing team performance can reveal critical areas of concern such as lost revenue, compliance lapses, and inefficiencies in workflow—all of which directly affect reimbursement and operational success.

This session will delve into the strategic role billing audits play in improving organizational performance. You’ll learn how a structured audit process enhances claims accuracy, supports coding compliance, reduces denial rates, and boosts overall efficiency. Participants will also be guided through effective audit planning, including how to build a repeatable process, use auditing technology, and maintain continuous oversight to promote ongoing improvement.

Organizations that embrace proactive billing audits are better positioned to recover lost revenue, comply with evolving payer requirements, and achieve long-term financial health. The webinar will conclude with clear action steps to establish or strengthen your internal audit program and includes a Q&A session to tackle real-world challenges.

Learning Objectives

• Understand how billing audits expose inefficiencies and improve reimbursement accuracy

• Discover how regular audits enhance compliance and claim success rates

• Learn practical strategies for denial reduction and root cause investigation

• Explore how ongoing monitoring and corrective actions drive lasting improvements

What You’ll Learn

• How to implement tools and strategies for effective denial management

• Key steps in conducting root cause analysis of common billing issues

• How to identify and recover revenue lost through billing errors or process gaps

• The critical connection between accurate claims and proper coding

• Best practices for launching or refining an internal billing audit program

• How to implement continuous improvement methods for long-term success

Key Highlights

• Identify the high-risk areas to target in billing team audits

• Understand how audits protect financial integrity and support compliance

• Uncover common obstacles in billing workflows—and how to address them

• Explore advanced denial management tools that boost first-pass claims

• Learn to conduct thorough root cause analyses for recurring problems

• Spot hidden revenue leakage and capitalize on overlooked reimbursement opportunities

• Apply monitoring systems to sustain billing performance improvements

• Follow industry best practices for executing successful billing audits

Who Should Attend

This program is designed for professionals across the revenue cycle and clinical operations, including:

• Certified Medical Coders & Billers

• Billing & Compliance Auditors

• Physicians in Private Practice

• Managed Care Staff

• Revenue Cycle Management Leaders

• Operations & Practice Administrators

• Office and Billing Managers

• Compliance Teams and Officers

• Medical Directors and CMOs

• Members of Medical Groups, ACOs, and Healthcare Associations