 National Audit
was
incorporated in 2001; however the founders
and owners of the company have been providing
audit services since 1987. National Audit is headquartered
in Jacksonville, Florida, and is a Florida-Certified Minority
(Women-Owned) Business Enterprise. Staff
National Audit's dedicated
team consists of professional individuals with numerous and varied certifications,
including:
Registered Nurse (RN) Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Registered Health Information Administrator (RHIA) Registered
Health Information Technician (RHIT)
In addition, clients benefit from the knowledge and expertise of claim
adjusters, a Doctor of Pharmacy and a Physician. The majority of
these individuals have 15+ years experience in
the health care industry.
Background
Since January of 2001, National
Audit has been working with various health insurance providers
performing Hospital Bill and DRG validation audits.
In 2004, it developed a series of specialty audit programs
to meet clients' continuously evolving needs. These programs provide payment validation
reviews in the following areas:
Pharmacy Benefit Management (PBM) High Cost Drug / Home Infusion Durable Medical Equipment (DME) Skilled Nursing Facility (SNF) Contractual terms Validation (Cost + Language) Limitations and Exclusions
 These
programs were developed through partnering with many of its clients. National Audit, in conjunction with
individual clients, performed an analysis of provider contracts to determine where there was the potential for
health claim overcharges.
National Audit then customized audit programs
- called Specialty Audits - to address these potential problem
areas and also assumed the risk in conducting the audits to determine if there were, indeed, overcharges to be
found. These Specialty Audit programs have resulted in a significant increase in the recovery efforts for the
clients that have been able to utilize them.
Results
National Audit has consistently double
digit growth from each year to the
next through the above programs, as well as by continuously automating and streamlining processes. In 2005, the
company performed over 5,000 audits which resulted in the identification of over $40 million in overcharges.
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