Find It Before They Do
The Best Time to Find a Coding Error Is Before the Payer Does
Every practice has revenue hiding in undercoded and miscoded claims — procedures documented but coded below what was earned, charges supported by the chart but never billed. Our auditors find the money, flag the compliance gaps, and give you a plan to fix both before they become a payer audit or an OIG inquiry.
Undercoding Doesn't Trigger Denials. It Just Quietly Costs You Money.
Overcoding gets flagged. Undercoding gets ignored — by payers, by reports, by everyone except your bottom line. When a provider documents a level 4 visit and it's coded as a level 3, no one sends a denial. The claim pays at the lower rate and everyone moves on. Multiply that across hundreds of visits per month and you're looking at significant annual revenue loss that never shows up on a denial report. The OIG recommends regular medical record audits for every Medicare-participating provider — and for good reason. Practices that audit proactively recover revenue hiding in undercoded and miscoded claims — procedures documented but never billed, levels of service supported by the chart but coded below what was earned. The question isn't whether you can afford to audit. It's whether you can afford not to.
Accuracy Audits
We review a statistically valid sample of coded claims against your documentation to measure your actual accuracy rate. No assumptions — just numbers you can act on.
Undercoding Detection
Undercoding is the silent revenue killer. Our auditors identify procedures and diagnoses that were documented but never coded, recovering revenue your practice earned but never billed.
Overcoding Prevention
Overcoding creates compliance risk and invites payer scrutiny. We flag patterns before they attract attention and help you correct them before a correction becomes a crisis.
OIG-Aligned Compliance Reviews
Our audit methodology follows the frameworks the OIG recommends. Statistically valid samples, documented findings, corrective action plans — audit-ready results that satisfy compliance requirements and keep your practice on solid ground.
25+
Years of Audit Experience
Our auditors know where the money hides because they've been finding it across every major specialty since 2000.
OIG
Aligned Methodology
Our audits follow OIG-recommended frameworks — statistically valid samples, documented findings, and corrective action plans.
99%
Our Coding Accuracy Standard
We audit to the same standard we code to. Our auditors know what right looks like because they hold themselves to it every day.