Compliance is not an afterthought—it is your practice's legal and financial shield. V1RCM provides rigorous independent coding audits aligned with OIG, CMS, and HIPAA benchmarks.
Payers and government contractors (RACs, UPICs, MACs) increasingly use automated statistical algorithms to flag practices for outlier billing patterns. Facing an audit without prior compliance reviews can trigger catastrophic clawbacks and civil monetary penalties.
V1RCM's Certified Professional Medical Auditors (CPMA) perform comprehensive baseline and periodic chart reviews. We categorize errors into under-coding, over-coding, modifier mismatches, and medical necessity gaps, delivering actionable executive reports.