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Home / Revenue Cycle Management / Medical Claims Audit
Revenue cycle management
We review your claims and coding to find lost revenue and compliance risks before payers do.
Our billing team checks every part of a claim before it is submitted. We use several safeguards to prevent rejections, and when one does happen we resolve it quickly and correctly.
This is one of our strengths. Claims with formatting problems or missing data slow down your office and hold back your revenue.
A rejected claim never reaches the payer’s processing system. Something as small as a wrong policy number or date of birth can trigger a rejection, and if it is not corrected in time the filing deadline can pass and the revenue is lost.
Our tools flag problem claims well before filing deadlines. Rejections are corrected and resubmitted within 24 to 48 hours, and we stay on each claim until it is resolved to keep your A/R days low.
Contact us to learn how our claims audit service can save you time and improve your collections.
We review a sample of your recent claims, payments and denials across providers and payers.
Coding, documentation, charges and payments are compared with payer rules and your contracts.
You get a clear report of lost revenue, coding risks and the changes that will fix them.
If you choose, our team corrects and resubmits claims and puts the fixes in place.
We offer a practice audit at a very affordable rate to show where revenue is being lost, with no obligation to sign up.
Usually read-only access to your billing system or a set of reports: AR aging, denials, payments and a sample of claims with notes.
Most audits take one to two weeks depending on the size of the practice and how quickly reports are available.
See the offers for your organization: