An audit is a sample, not an accusation. It compares what was billed against what the documentation supports, and looks in both directions.
We sample across providers, payers and code sets, name the cause behind each finding rather than just the finding, and hand back a ranked list of fixes by what each is worth.
What's included
- Sampling across providers, payers and code sets
- Findings reported in both directions, with the cause named
- A ranked list of fixes by what each is worth
How it's handled
Sampling across providers and code sets to surface undercoding, unbilled charges, and edit failures.