Unbilled Appointments
Claim Submission Gaps
Clearinghouse Rejection Analysis
Contractual Adjustment Verification
We cross-reference appointment schedules against actual charges to identify missing revenue from performed but unbilled services.
Audit of generated claims ensures successful submission and prevents revenue loss from incomplete or stalled transmissions.
Systematic review of clearinghouse rejections reveals patterns and ensures timely remediation before claims age out.
We verify payer reimbursements against your contractual fee schedules to recover underpayments and optimize collection.
Reconciling Practice Data with Payer Remittances
Our methodology meticulously cross-references your practice management system's appointment and charge data with Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) files. This granular reconciliation pinpoints discrepancies where revenue is lost due to workflow gaps or unaddressed payer issues.
Pinpointing Revenue Leakage
We systematically identify the most common operational cracks where revenue silently disappears, often unnoticed by internal teams.
Unbilled Appointments
Silent Claim Rejections
Uncollected Adjustments
Appointments marked as completed in the EHR but lacking a corresponding charge are identified and recovered, closing critical workflow gaps.
Claims rejected by clearinghouses that never reach payers are categorized and systematically remediated, preventing silent revenue loss.
Payer reimbursements are verified against contractual fee schedules to ensure full collection of expected revenue, eliminating underpayment discrepancies.
Our independent, no-upfront-fee audit provides the data-backed insights you need to optimize your revenue cycle and improve financial performance.