What does a "billed vs. delivered" service audit involve?

A "billed vs. delivered" service audit primarily focuses on ensuring that the services for which a healthcare provider has billed are the same as those that were actually delivered to the patient. This process is vital in maintaining compliance with regulations and for the integrity of the billing process.

By comparing billed services against the services documented in the patient’s records, this audit helps identify discrepancies that could indicate billing errors, fraudulent claims, or inefficiencies in the service delivery process. It emphasizes accountability in healthcare billing, ensuring that patients are not overcharged for services they did not receive and that providers are reimbursed accurately for the care they provided.

This audit does not typically involve analyzing global service pricing, reviewing patient satisfaction ratings, or examining billing errors from an accounting perspective alone. Instead, it is specifically centered on aligning billing claims with actual service delivery, making it a crucial component in compliance and quality assurance within healthcare administration.