Direct Payer Audit

Direct Payer Audit is a service using a sophisticated analytical software application which identifies, reports, and collects payer under payments on behalf of the provider. This is “Found Money” that drops straight to your bottom line.

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  • Identify and report payer underpaid claims at the CPT code level.
  • Comparison of the contracted rates to the actual paid amount.
  • Per the AMA, MGMA, and our findings, 1-2% of your practices total revenue is being lost due to Payer under payments.