Identify compliance risks, coding errors, and lost revenue opportunities with our detailed 50-point practice audit. We find the money you've already earned.
We don't just scratch the surface. Our certified auditors identify patterns in your claims data, reviewing a statistically significant sample of charts and EOBs. We look for under-coding, lack of medical necessity documentation, and systematic denial triggers.
How does your practice compare to the industry standard? We evaluate your Key Performance Indicators (KPIs) against MGMA benchmarks. From Days Sales Outstanding (DSO) to Net Collection Rates, we show you exactly where you stand and where you should be.
We examine every angle of your revenue cycle.
Detecting upcoding (compliance risk) and downcoding (revenue loss) to ensure optimal reimbursement.
Analyzing how long it takes for you to get paid and identifying bottlenecks in the payment cycle.
Calculating the true percentage of eligible revenue you are actually collecting from payers.
Pinpointing top denial reasons by payer, CPT code, and provider to implement preventive fixes.
Reviewing clinical notes to ensure they support the billed service levels and medical necessity.
Verifying that insurance payments match your contracted fee schedules to find underpayments.
Our auditors are trained on all major systems. We access your data securely without disrupting your workflow.
It is recommended to conduct a comprehensive external audit at least once a year. However, if you notice a drop in revenue or increase in denials, an immediate focused audit is advised.
No. Our audits are conducted remotely. We require secure access to your PMS/EHR and a set of requested documents. Your staff can continue their work without interruption.
Get a complimentary 10-chart audit. We'll show you exactly how much revenue you might be leaving on the table.
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