Medical Coding & Billing Audits
Documentation evaluated against CPT, ICD-10, and modifier guidelines to reduce denials and prevent under-coding.
Coding errors trigger costly commercial audits and payer clawbacks, while systemic under-coding leaves earned revenue uncollected. Our coding review processes evaluate documentation against current NCCI edits to ensure compliance and revenue integrity across all specialties.
What We Handle
- Retrospective and prospective procedural coding audits across medical specialties
- Modifier defensibility reviews (-25, -59, -XE, -50, -SG, -73/-74)
- Clinical documentation improvement (CDI) reviews to eliminate E/M under-coding
- Detailed compliance audit summaries prioritized by revenue impact
What You Receive
- Clear findings categorized by financial risk and missed reimbursement
- Actionable provider-specific and code-specific documentation guidance
- Defense against Medicare recovery audits (RAC/UPIC) and commercial pre-pay reviews
See where your revenue is leaking
Start with a free 10-point A/R and denial audit. We sign a BAA before any patient data is shared.
Request the free audit Request our BAA