Billing Audit & Reporting Financial Accuracy for Healthcare Providers
Insight. Integrity. Impact.
At Miami RCM, we offer in-depth Billing Audit & Reporting services to help healthcare providers in Miami improve financial performance and maintain billing accuracy. Our team conducts external billing workflow audits to identify inefficiencies, coding errors, and compliance gaps in your revenue cycle. We deliver actionable performance analytics that give you a clear view of claims trends, payment delays, and denial rates.
To safeguard your revenue, we implement proactive risk mitigation strategies that reduce errors and improve payer compliance. Our audit reports also include staff training recommendations to strengthen your internal billing practices and ensure long-term success.
What Our Billing Audit & Reporting Service Does For You
At Miami RCM, our billing audit and reporting service gives your dermatology and specialty practice the clarity, control, and confidence to thrive. We deliver
External Billing Workflow Audits
We assess your billing operations for accuracy, efficiency, and compliance. By identifying gaps in coding, documentation, and claim submission, we help reduce denials and delays—boosting performance across your dermatology practice.
Risk Mitigation Strategies
Our proactive strategies minimize compliance risks, billing errors, and revenue leakage. We flag potential issues early to protect your financial health and strengthen audit readiness.
Staff Training Recommendations
Using audit insights, we deliver customized training plans to improve billing accuracy and payer compliance. Your team becomes more confident, capable, and aligned with best practices.
Why Choose Miami RCM’s Billing Audit & Reporting Experts?
Deeper insights. Cleaner data. Smarter decisions.
At Miami RCM, billing audits aren’t just about catching errors—they’re about unlocking opportunity. We go beyond surface-level reviews to deliver actionable intelligence that strengthens your revenue cycle from the inside out. Our dermatology-focused analysts identify root causes of denials, underpayments, and workflow inefficiencies—then build custom reporting frameworks that empower your team to act with confidence.
Whether you’re navigating payer trends, compliance shifts, or internal performance metrics, we bring clarity, precision, and strategic foresight to every audit. With Miami RCM, you gain more than reports—you gain a partner who translates data into growth.
External Billing Workflow Audits
Clarity-driven audits that expose inefficiencies and unlock revenue potential.
Miami RCM’s external billing workflow audits go beyond surface-level reviews. We dissect every step of your revenue cycle—from front-desk intake to claim submission and follow-up—to uncover bottlenecks, redundancies, and missed revenue opportunities. Our audits are tailored to dermatology workflows and EHR configurations, delivering actionable insights that elevate speed, accuracy, and financial performance.
Audit highlights include:
Identification of claim delays, rework loops, and handoff breakdowns
End-to-end mapping of billing workflows across teams and systems
EHR-specific recommendations for ModMed, EZDERM, and Athena
KPI benchmarking against industry standards and peer practices
Executive summary with prioritized fixes and ROI projections
Risk Mitigation Strategies
Proactive safeguards that protect revenue, reputation, and regulatory standing.
In dermatology billing, risk hides in the details—coding nuances, documentation gaps, and payer-specific quirks. Miami RCM builds layered risk mitigation strategies that combine compliance vigilance with operational foresight. We help practices stay audit-ready, reduce denial exposure, and navigate payer scrutiny with confidence.
Our risk mitigation playbook includes:
Documentation templates that support medical necessity and coding logic
MACRA/MIPS alignment to avoid penalties and maximize incentives
Quarterly risk dashboards with actionable insights for leadership
Payer-specific rule tracking and proactive edit management
Real-time denial trend analysis and predictive flagging
Risk Mitigation Strategies
We implement front-end checks and real-time eligibility verification to reduce claim denials before they happen.
Our team ensures every claim is backed by compliant, complete documentation that stands up to scrutiny.
We track key metrics like denial rates, underpayments, and aging trends to flag vulnerabilities early and act fast.
From HIPAA compliance to payer-specific rules, we keep your practice aligned with evolving standards to avoid penalties and reputational risk.
Staff Training Recommendations
Empowering teams with targeted education that drives performance and compliance.
Miami RCM believes training should be strategic, not generic. We design staff education programs that reflect your practice’s unique workflows, payer mix, and clinical focus. Whether onboarding new hires or upskilling seasoned coders, our training modules build confidence, reduce errors, and foster a culture of continuous improvement.
Training solutions include:
Live and asynchronous sessions tailored to dermatology billing scenarios
Modifier logic, denial prevention, and documentation best practices
Role-specific training tracks for billers, coders, and front-desk staff
EHR workflow optimization for ModMed, EZDERM, and more
Quarterly refreshers and performance-based coaching
Staff Training Recommendations
We design customized training for front desk, billing, and clinical staff to ensure everyone understands their impact on revenue and compliance.
Our experts guide your team through best practices for documentation, coding, and charge capture within your specific EHR system.
Regular updates on CPT/ICD changes, payer policies, and CMS guidelines keep your team sharp and audit-ready.
We help build systems for ongoing feedback, so staff can learn from errors, celebrate wins, and continuously improve
Ready to Simplify Your Revenue Cycle?
Frequently Asked Questions
Your practice’s success is our priority. Here’s how we deliver results with speed, transparency, and precision.
We offer flexible pricing based on the volume and complexity of services performed. Our rates typically range between 2% to 5% of collections, ensuring you only pay for the value we deliver.
We complete billing and coding within 24 hours from the date of service—provided medical records are available. Our speed in processing directly boosts your revenue flow and minimizes delays.
We maintain a 90+ Accounts Receivable (AR) at just 15% on average, and keep Days in AR around 30 days. This reflects our commitment to efficient collections and clean claims management.
Absolutely. We share standard performance reports regularly to help you monitor key metrics. Need custom analytics? We can tailor reports to your specific business goals—empowering smarter decisions and better outcomes.
Yes, Miami RCM LLC is fully HIPAA compliant. We prioritize the confidentiality, integrity, and security of patient data through:
– Encrypted data transmission and storage
– Role-based access controls
– Regular audits and compliance checks
– Secure cloud infrastructure
Our team is trained in HIPAA protocols, and we continuously update our systems to meet evolving regulatory standards—so your data stays protected, always.
Not at all. We adapt to your existing EHR/PM system seamlessly. If needed, we can also recommend more efficient platforms tailored to your workflow and specialty—but the choice is always yours.
You get 24×7 support through direct phone calls and emails from our expert team. We take customer queries seriously and respond promptly—because your peace of mind matters as much as your revenue.
