Free billing audit
Request a Free Medical Billing Audit
Find out where your practice is losing revenue before you change anything. We review summary billing reports, identify denial patterns, aging claims and coding risks, and walk you through what we found.
- No cost and no obligation
- Starts from summary reports, so no patient records are needed
- Findings explained on a review call, with fixes ranked by impact
Request your free audit
Tell us about your practice. We will reply to agree the reports we need and a time to review the findings. We reply within one business day.
Do not include patient information. Please leave out patient names, diagnoses, insurance member IDs and any other protected health information (PHI). We only need details about your practice.
What the audit reviews
Six areas that account for most lost and delayed revenue in a typical practice.
Denial patterns
Denials grouped by CARC and RARC reason codes and by payer, to separate one-off problems from recurring ones.
A/R aging
Outstanding claims by age bucket (0 to 30, 31 to 60, 61 to 90 and over 90 days) and payer, with attention to claims nearing filing limits.
Rejections
Clearinghouse rejections that point to front-end problems such as eligibility, demographic or enrollment errors.
Coding patterns
E/M level distribution, modifier usage and the most frequently denied codes, to spot under-coding or compliance risk.
Payment accuracy
Payments compared with your fee schedule or contracted rates where available, to identify underpayments.
Charge lag
Days from date of service to claim submission, since slow charge entry delays cash and raises filing-limit risk.
How the audit works
Step 1: Request the audit
Send the form with basic practice details. No patient information is needed.
Step 2: Share summary reports
We send a short list of standard reports to export from your practice management system, such as A/R aging and denial summaries.
Step 3: Analysis
We review the reports and identify the main sources of lost or delayed revenue. Findings are typically ready within 1 to 2 weeks of receiving the reports.
Step 4: Findings call
We walk through what we found and the fixes we would prioritize, whether or not you go on to work with us. You receive a written summary and a call to walk through it.
What to send, and what not to send
The first pass of the audit works from summary reports that most practice management systems can export: an A/R aging summary by payer, a denial or adjustment summary by reason code, a payer mix report and a charges and collections summary for recent months. These describe how the practice bills without listing individual patients.
Please do not email patient-level reports, claim forms, EOBs or anything with patient names, dates of birth, diagnoses or insurance member IDs. If a deeper review needs claim-level detail, a business associate agreement is put in place first and secure access is arranged instead of email.
Frequently asked questions
Is the billing audit really free?
Yes, and there is no obligation to sign up for billing services afterward. The audit is open to practices of any size.
Do you need access to our patient records?
Not for the initial audit. It works from summary reports showing totals by payer, age and reason code. If claim-level review is needed later, it happens only under a signed business associate agreement and through secure access.
Which reports should we prepare?
Usually an A/R aging summary by payer, a denial summary by reason code, a payer mix report and a monthly charges and collections summary. The exact list is confirmed after you send the form, based on the system you use.
How long does the audit take?
Typically within 1 to 2 weeks of receiving the reports. Timing mostly depends on how quickly the reports can be exported from your system.
What happens after the audit?
You get a walkthrough of the findings and the fixes we would recommend. Some your team can make on its own; others may fit one of our services. Either way, the decision is yours.
Learn more before you request
Contact
Email and a short form for practices that want to talk about billing support. No patient information needed.
Learn more about ContactRevenue Cycle Management
The whole cycle run as one process: patient access, coding, claims, payments, denials and patient balances, with shared KPIs.
Learn more about Revenue Cycle ManagementDenial Management
Denials worked by reason code and root cause, with corrected claims and appeals filed inside payer deadlines.
Learn more about Denial ManagementPricing
How MEDCLAIM prices billing work: percentage of collections, flat monthly fee or a hybrid, quoted after a free billing audit.
Learn more about PricingMedicare Overpayments
What the Medicare overpayment rule requires, how the deadline works, and a credit-balance routine that keeps refunds on time.
Learn more about Medicare Overpayments
