Precision Coding Audits & Underpayment Recovery Operations

Recover trapped clinic revenue with comprehensive payer contract reconciliation, stalled claim resolution, and compliance safeguards.

• Underpayment Recovery Audits – Forensic comparison of electronic remittances against contracted payer fee schedules, automatically identifying and recovering shortfalls.
• Clinical Chart Documentation Review – Thorough E/M and surgical chart audits identify under-coding risks, ensuring providers capture full legitimate reimbursement.
• Complex Payer Dispute Appeals – Medical director-level appeal letters cited with clinical guidelines and state insurance commissioner statutes overturn stubborn denials.
• Executive Financial Reporting – Weekly KPI packets highlighting cash collections, denial root causes, days in A/R, and payer turnaround trends.