Medical Billing Audit
Medical billing audits that uncover lost revenue and reduce risk
Our certified auditors review your claims, coding, denials, and payer payments against documentation and contracts. You get a clear report of revenue leakage, compliance exposure, and the fixes that will pay off fastest.
What you get
Why practices hand medical billing audit to us
Find hidden revenue
Spot under-coding, missed charges, and payer underpayments you're entitled to recover.
Reduce audit risk
Identify over-coding and documentation gaps before a payer or OIG audit does.
Benchmark performance
See how your KPIs compare with specialty benchmarks and best practices.
Actionable roadmap
Get prioritized recommendations, whether or not you outsource to us.
How it works
Our process, step by step
- Step 1
Scope & data request
We agree on the audit scope and securely collect claims, remits, and a sample of charts under a BAA.
- Step 2
Analysis
Certified coders and analysts review coding accuracy, denials, AR, and payments against contracts.
- Step 3
Findings report
A clear report quantifies revenue leakage and compliance risk by provider and payer.
- Step 4
Review & action plan
We walk you through the findings and a prioritized remediation plan.
Questions
Common questions about medical billing audit
The free revenue audit is a high-level KPI and AR review. A full billing audit adds chart-level coding review, contract underpayment analysis, and a formal compliance report.
Typically a statistically meaningful sample per provider, often 10 to 20 encounters. The exact number is agreed on during scoping.
Find out what your billing is really costing you
Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.
We sign a BAA before any patient data changes hands.
