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Claims Audit & Revenue Recovery

Business Data Analysis

Recover What You're Owed

Denied, underpaid and forgotten claims add up quickly, especially for out-of-network providers. We review your past claims, payments and EOBs to find revenue that slipped through the cracks, then work to recover it for your practice and your clients.

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What's included:

• Underpayment review against the plan's out-of-network benefits or your contracted rate

• Denial audit, corrections, resubmissions and appeals

• Aged A/R recovery before filing and appeal deadlines pass

• Zero-balance review of claims that were written off

• Missed charge review for facility, newborn and supply charges

• Coding and documentation audit

• Credit balance and refund review

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What you receive: a clear report showing what we found, what we've recovered so far and are still pursuing, and what to change so the same revenue isn't lost again.

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