One-Stop Solution For Revenue Cycle Management Services

Compliance Audit Companies in Texas

Compliance Audit Companies in Texas

Owning a medical practice in the state of Texas, you are surely aware of how tangled healthcare regulations can turn out to be. Complying with the myriad rules that implicate healthcare-from HIPAA down to Medicare billing rules to state-specific requirements-is no longer a matter of just complying for the sake of maintaining good standing; rather, it becomes an issue of keeping a practice safe from costly fines, audits, and possibly litigation. 

This is where compliance audit companies in Texas come in; they are there to help you ensure that your practice follows the rules, which allows you to mitigate some risks and trade those for peace of mind. All the same, given the seemingly endless array of choices, how does one go about choosing a top compliance audit company that would best meet one’s needs?

This guide seeks to remove all doubt as to what compliance audit firms in Texas do; what they are geared towards; how to get the one that suits your practice most.

What Does a Compliance Audit Company Do?

A compliance audit company checks operations in your medical practice with relation to federal and state regulations. In general, they look at:

  • Billing and Coding Compliance- Are you billing correctly for services? Are you avoiding fraud and abuse?
  • HIPAA Compliance- Are you ensuring that data pertaining to patients are secure and are following privacy laws?
  • OSHA and Workplace Safety- Is the atmosphere your practice maintains safe for its employees and patients?
  • Medicare and Medicaid- Are you applying guidelines set forth by the government in health care?
  • Documentation Practices- Are your patient records reliable and appropriately maintained?

You could say that a compliance audit is a regular examination or check-up for the condition of the practice, which hopefully brings any glaring potential problems to light before being able to manifest into serious issues.

Reasons Your Practice Needs Compliance Audits

Most doctors think that their practices are running smoothly until they receive a surprise audit by government agencies or an insurance company. Here is why periodic compliance audits are warranted:

  • Prevent Costly Fines-:Non-compliance could result in heavy penalties. What seems like a trivial documentation error or an incorrect billing code may cost you thousands of dollars.
  • Legal Risks Minimization:In other words, a texas compliance audit would see to it that you would not fall behind in the area of potential legal troubles.
  • Build Patient Trust: Patients prefer practices that conform with ethical and legal guidelines.
  • Promote Efficiency:Compliance audits enhance process flows, minimizing errors and maximizing efficiency. 
  • Prepare for External Audits: Anticipating the audit of your practice by an insurance provider or regulatory agency will cause you less stress.
  • To put it short, a compliance audit is not merely a bureaucratic necessity; it’s an investment in the success and reputation of your practice.

Choosing the Best Compliance Audit Company in Texas

Having understood why compliance audits are important, the next thing to consider is how to get the right company to conduct them. Here is what you should look out for:

  1. A company that has experience in the Healthcare Compliance Field. Not all audits firms understand the uniqueness and intricacies of auditing in the healthcare industry; also ensure such a company specializes and undertakes experience in medical compliance in Texas healthcare law.
  2. Knowledge of Texas-Specific Regulations: Healthcare laws vary from one state to another. Make sure that your audit company is cognizant of the Texas Medical Board (TMB) regulations, Medicaid requirements, and other Texas-specific rules.
  3. Extensive Audit Services: A Best compliance audit company should audit various aspects of compliance, such as: 
    1. Medical coding and billing audits
    2. HIPAA privacy and security assessments
    3. OSHA workplace safety evaluations
    4. Risk Management Strategies.
  4.  Personalized Approach:Every medical practice is different. Avoid case and company application of “one size fits all” checklist; instead, opt for a firm that customizes according to your practice size, specialty bl import areas or risk. 
  5. Reputation and Reviews: Check online reviews and ask other physicians for recommendations. An above-board compliance audit company will have a history of helping medical practices to stay compliant. 
  6. Ongoing Support and Training: Compliance audit must not only be a one-shot deal. Continuous support, training the staff, as well as guidance for compliance the entire time from the top audit firms. 

Top Compliance Audit Companies In Texas 

There are many great compliance audit firms in Texas, but here are some of the “greats”. 

Practolytics Yes, that’s us! We help Texas doctors with compliance audits, revenue cycle management, and practice optimization.

Texas Medical Compliance- Focus on HIPAA and OSHA compliance for medical practices.

MedSafe- facilities consultancy on the aspect of healthcare compliance audits with a well-laid heavy emphasis on risk management.

Compliancy Group- has easy to use solutions for small to medium sized practices for achieving HIPAA compliance.

Every company has something to offer, and thus, each should be selected based on the specific needs it answers.

How Practolytics Would Help Make Your Practice Compliant

Take Practolytics to compliance challenges that are ethnicity specific. Our team of experts will make sure that your practice is compliant with both federal and state with such a way that it allows you to devote maximum time to patient care minus the worry of fines and audits.

We’re Offering:

  • Medical Coding and Billing Audits – Avoid those mistakes that can lead Medicare or insurance in audits.
  • HIPAA Compliance Reviews – Patient data can be protected and secured.
  • OSHA and Workplace Safety Checks – Safety for patients and practice from staff.
  • Staff Training and Education – Ensure your team is knowledgeable in what they need for compliance.
  • Ongoing Compliance Monitoring to meet regulation changes early with continued assistance. Compliance isn’t a headache with Practolytics. It’s just part of daily practice flow.

Final Thoughts:

Compliance is one thing, and you can leave it because it isn’t cheap. The healthcare industry is always changing, and regulations do change from time to time. A minor error today turns into a huge problem in the future.

The regulation has borne sweeter fruits in making twin ventures, whether to assess compliance or manage it. If you are looking to book a single audit or want to have a continuous compliance administration and management, it differs much to find that partner.

Contact Practolytics today if you are ready to protect your practice by doing a compliance audit by a professional. From this juncture, we will help navigate the bumps in the road that are healthcare compliance related so that you can do what you do best-caring for your patients.

Hire professional compliance audit services in Texas? Come visit Practolytics today!

connect with practolytics


ALSO READ – Unlock Efficiency and Compliance in Healthcare with Our Prior Authorization White Paper