Comprehensive Billing Audit

• Review of past claims (paid, denied, rejected, pending)

• Evaluation of claim accuracy (CPT codes, modifiers, POS codes)

• Verification of fee schedules and contracted rates

Accounts Receivable (A/R) Analysis

• Aging report breakdown (0–30, 31–60, 61–90, 90+ days)

• Identification of stagnant or unworked claims

• Prioritization of high-value recoverable balances

Denial Management

• Categorization of denial reasons (coding errors, eligibility, authorizations, etc.)

• Root cause analysis and trend identification

• Resubmission or appeal recommendations

Payment Reconciliation

• Matching payments with claims

• Identifying underpayments, overpayments, and write-offs

• Addressing unapplied or misapplied payments

Patient Balances & Statements Review

• Ensure accurate patient responsibility

• Identification of duplicate charges or errors

• Correct billing of deductibles, coinsurance, and copays

Clean-Up & Corrections

• Update payer records as needed (NPIs, TINs, addresses)

• Correct billing data and resubmit claims where appropriate

• Organize documentation for audit trail and compliance

Final Audit Report

• Summary of findings

• Actionable recommendations

• Optional ongoing monitoring or follow-up support

Benefits:

• Increased revenue recovery

• Reduced claim denials

• Enhanced billing compliance

• Clearer financial picture for your practice

• Peace of mind during transitions or audits