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.
- Performs both retrospective and on-going payer audits.
- Comparison of the contracted rates to the actual paid amount.
- Per the AMA, MGMA, and our findings, 3-8% of your practices total revenue is being lost due to Payer under payments. Let Exchange EDI recover it for you!