Cloud Medex provides detailed medical billing audit services designed to uncover errors, ensure compliance, and optimise reimbursements. Our systematic approach identifies missed charges, coding inaccuracies, and documentation gaps, protecting your practice’s revenue while strengthening financial transparency and operational efficiency.
At Cloud Medex, we know a “clean claim” doesn’t guarantee safety. While your billing system or clearinghouse may pass it through, payers evaluate much more than spelling errors; they track patterns, frequencies, and compliance risks over time.
Here’s the truth: even if your EMR shows no errors and the claim gets reimbursed, issues can surface later. Payers often monitor statistical trends and billing habits, then respond with:
That’s why our medical billing audit services replicate payer behaviour. Using compliance datasets, denial models, and CMS audit criteria, Cloud Medex thoroughly reviews your claims, just like a payer would, helping you prevent costly surprises before they happen.
Cloud Medex delivers comprehensive medical coding audits across inpatient, outpatient, professional, and home health records. Our audits identify coding errors, improve documentation accuracy, and ensure compliance, protecting your practice from denials and revenue loss.
We provide detailed billing audits for Medicare, Medicaid, commercial, and self-pay claims. Cloud Medex reviews each claim for compliance, accuracy, and completeness, helping providers minimize denials, recover missed revenue, and safeguard financial performance.
Cloud Medex prepares providers for government and payer-mandated audits, including TPE, RAC, OIG, DMEPOS, and Medical Necessity reviews. Our expertise helps practices stay compliant, respond effectively, and reduce the risk of penalties or recoupments.
We conduct clinical audits to evaluate care quality, patient safety, and clinical outcomes. Cloud Medex ensures your practice meets healthcare standards while identifying areas for improvement to enhance patient satisfaction and overall performance.
Cloud Medex strengthens practice cash flow with collection aging audits. We review aged claims, identify errors, and refile denied claims promptly, maximizing recovery while reducing delays and protecting your revenue cycle from unnecessary losses.
Cloud Medex reviews Medicare patient charts to confirm services are documented, justified, and fully compliant. Our audits safeguard providers from compliance issues while ensuring fair reimbursement and accurate payment for care delivered to Medicare beneficiaries.
Hundreds of providers rely on Cloud Medex for compliance-focused audits. Let’s discuss your needs.
Detect hidden errors impacting claims and provider pay.
Ensure full compliance with CMS and payer audit requirements.
AI-powered and manual checks for maximum claim accuracy.
98% compliance rate helps reduce costly denials.
Basic checks for typos aren’t enough. At Cloud Medex, we review your claims exactly the way CMS, MACs, and commercial payers evaluate them, because your revenue depends on their review, not your software’s dashboard.
Our audit approach begins with payer-focused modelling, identifying the very triggers that cause denials, pre- and post-payment reviews, or extensive RAC audits.
By combining advanced compliance methods with detailed manual coding analysis, Cloud Medex identifies discrepancies that are often overlooked by in-house teams or EMR systems.
This ensures your claims remain accurate, defensible, and optimised for consistent reimbursement and long-term financial protection.
Claims analyzed with the same lens insurers and regulators use.
Spotting risks early to avoid penalties and revenue loss.
Manual audits that catch errors software systems often overlook.
Avoid denials, protect payments, ensure lasting stability.
At Cloud Medex, we go beyond surface-level reviews; we act as a trusted safeguard for your healthcare revenue. With expertise across all specialities, our audit team ensures every claim is accurate, compliant, and fully optimised, allowing providers to focus on delivering exceptional patient care.
Detailed audits to identify errors, risks, and missed charges
Compliance with payer rules and federal audit requirements
Accurate reporting that strengthens financial transparency
Phone : (501) 430-4601
Monday - Friday : 09.00-17.00 Saturday-Sunday : Close
