Audit & Medical Billing
In-depth medical billing audits and daily charge entry management to ensure every procedure is billed at maximum allowable rates without compliance risk.
Comprehensive Service Overview
Our Audit & Medical Billing services empower independent practices and group clinics to uncover hidden revenue leaks. We audit historical claim files, identify underpaid codes, harmonize your fee schedule against regional payer benchmarks, and manage daily charge batches with meticulous precision.
Core Capabilities & Deliverables
Comprehensive Historical Billing Audit
Deep-scan past 12–24 months of billing data to discover underpayments, systemic coding errors, and uncollected balances.
Electronic Remittance & Daily Posting
Automated ERA processing, precise deductible and copay allocations, and immediate secondary payer submissions.
Patient Balance Management
Clean, professional patient statements and compassionate billing assistance that protects patient relationships.
Fee Schedule Review
Continuous monitoring of payer contract rate changes to optimize fee schedules across commercial and Medicare plans.
Our 4-Step Execution Process
Baseline Audit
Sampling recent claims to benchmark charge capture accuracy and payment compliance.
Gap Remediation
Correcting broken fee structures and setting up payer-specific claim rules.
Execution & Posting
Rapid 24-48 hour turnaround on daily charge entry and payment posting.
Monthly Review
Executive summary detailing collection ratios, gross/net collections, and adjustments.
Expected Practice Outcomes
All Medical Billing Services
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