About Medical Auditing Solutions (MAS)
Medical Auditing Solutions LLC was formed officially in 2005 by an experienced medical coding specialist. We started initially helping durable medical equipment providers with audits and pre-due diligence measures to help in the sale process. We have grown as the demand has grown and changed over the years taking on physician medical billing and coding audits, dental billing and coding audits, laboratory, pharmacy, home health, mental health, physical therapy, audiology, gynecology, ophthalmology, and many more. We work with various types of providers and their healthcare attorneys on OIG, FBI, DOJ, Medicare, Medicaid, Commercial Payer (i.e., Aetna, Humana, United Healthcare, BCBS, and more) audits whether pre or post payment to prevent recoupments and/or implement processes to prevent audit risks in the future.
Why Choose Us
- We have experienced coding specialist that fight for our clients!
- We know how hard businesses work to care for patients and try to collect money. Your time is valuable.
- We research the case with all payer policies and compare to actions by the provider to ensure the correct policies were used for the determination.
- We use past experience as a consideration in all our cases.
- We work as efficiently as possible for the best results for our clients.
Expertise
Mrs. Miller-Leathers has 29 years of experience in helping provider practices based on education, training, and years of experience from many other cases. These cases include FBI, OIG, DOJ, and commercial insurance overpayment. All of the associates with MAS have a similar background with 25+ years of experience from DME to hospital settings, spanning a wide variety of audit and investigation types. We have a great track record for our clients. Our goal is to prevent matters from escalating to the level of court. However, sometimes going to court cannot be avoided so we arm the attorneys with the specific billing and coding facts needed to argue specific topics for their providers.
About the Team
Nadine Smith brings over 25 years of expertise from hospital compliance and billing to provider compliance and billing as well as education and extensive training. Ms. Smith is Certified in Healthcare Compliance and completed the billing company compliance certification with HBMA. Ms. Smith works with our small to midsized clients that often times do not have solutions available to them for billing. Ms. Smith’s goal is to ensure providers document it correctly via training and the claims are coded and billed right the first time, which reduces the risk for audits.
Emily Rollison brings over 30 years of expertise to provider practices based on training, and years of experience with DME, home health and mental health clinics in billing, software conversions, and operations. Ms. Rollison has worked with Mrs. Miller-Leathers at Medical Auditing Solutions as well as prior employment for 22 years. During this time, Ms. Rollison has assisted on the audit and documented finding on investigations as well as internal compliance audits. Ms. Rollison has extensive experience in software conversions to clean up data prior to input/upload into the new software systems.
We focus on having experienced and skills team members to guide our clients success!
Free 30 Minute Consultation
We are always available for free consultations to explore problems and assess options that best fit your situation. We want what’s best for you, even if that means we send you elsewhere.
Recently, we were contacted on a payer “inquiry audit” that was out of the norm. We could have taken the case, but the best solution was an attorney with experience in that situation. We offered a connection to one of our trusted resources so they would be in good hands to get the audit resolved.