Get a Free Billing Audit
Uncover overlooked reimbursement, coding bottlenecks, and adjudication friction with an objective, confidential analysis of your recent claims lifecycle.
-
Historical Remits & Denial Distributions Systematic review of CARC/RARC codes, repeat claim reject trends, and root write-off drivers.
-
Payer Fee Schedule Variance & Underpayments Identification of silent payer clawbacks, contract discrepancy margins, and missed allowed amounts.
-
Coding, Modifier Usage & Documentation Gaps Benchmarking E/M level distribution against specialty averages to prevent unbundling audit flags.
-
100% HIPAA-Compliant Transfer Environment End-to-end encrypted file ingestion with immediate mutual Business Associate Agreement execution.
Practice Audit Intake
SECURE SSLEnter your practice details below. An enterprise revenue operations specialist will review your parameters under strict NDA.
What the Audit Evaluates
Our senior diagnostic team performs a forensic drill-down into your historical electronic data interchange (EDI) files, surfacing systemic friction that internal billers rarely have the bandwidth to isolate.
Adjudication & Payer Remits
Granular analysis of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) across commercial, Medicare, and Medicaid volumes to uncover recurring soft-denials and unappealed rejections.
Coding & Documentation
Thorough evaluation of CPT/HCPCS distribution, Evaluation and Management (E/M) level coding integrity, and modifier utilization (-25, -59, -X{EPSU}) to eliminate both revenue downcoding and audit compliance exposures.
A/R Aging & Velocity Lag
Stratification of accounts receivable bucket distributions (0–30, 31–60, 61–90, 91–120+ days). We expose operational bottlenecks where staff follow-up stalls and claims approach timely filing limits.
How the Audit Protocol Operates
Designed specifically to respect clinical administration hours. No system disruptions, no invasive clearinghouse rewrites, and zero burden on clinical personnel.
Secure File Submission
Provide 50–100 sample anonymized 835/837 remit files, sample EOBs, or a standard redacted billing ledger export via our encrypted portal.
Quantitative Diagnostic
Our algorithmic engine cross-references claims against current local payer rules, contractual allowable amounts, and specialty coding matrices.
Executive Findings Brief
Receive a comprehensive executive report categorizing recovered revenue potential, underpayment totals, and unaddressed denials by payer.
Actionable Protocol
A private 30-minute debrief outlining immediate remedies to recapture trapped liquidity. Zero ongoing obligation or vendor lock-in.
Frequently Asked Questions
Clear procedural facts regarding the JORVUS free billing evaluation protocol.