MD Revenue Group reviews your last 90 days of claims, coding, and payments to find denials, underpayments, and coding errors that are costing your practice money. Your first audit is free, delivered in 48 hours, and requires zero patient PHI.
A medical billing audit is a detailed review of the claims, coding, and payments a practice has already submitted. It checks whether each service was coded correctly, billed at the contracted payer rate, and paid in full.
Our medical billing audit services review your last 90 days. We look at CPT and ICD-10 coding, modifier use, denial patterns, underpayments, and open accounts receivable. You get a clear report of what was lost, why it was lost, and what can still be recovered.
Illustrative sample. Your audit uses your real claims and payments.
Here is how we find money you have already earned, in four steps.
Claims, payments, and accounts receivable for the last 90 days. No EHR sync, and no patient PHI.
CPT, ICD-10, and modifier use checked against your documentation, your claims, and the payments you received.
Denial patterns, underpayments, and undercoding, grouped by payer, provider, and root cause.
Every finding ranked by recoverable value, with a step by step recovery roadmap you can act on right away.
The 8 places your money is hiding right now, and how we check each one.
CPT, ICD-10, and HCPCS codes matched to the documentation on every sampled claim.
Every payment compared with your contracted payer rates and fee schedules.
Services in the chart compared with services actually billed.
Modifiers 25, 59, and specialty modifiers, wrong use and missed use.
Denied and rejected claims grouped by payer and reason code, including duplicate billing and data entry errors.
Diagnosis codes checked against the procedure, visit level, and time documented.
Claims checked against payer coverage rules, local coverage determinations, and unbundling risk.
Open A/R reviewed by age, follow up history, and past write offs.
Most audits hand you a checklist of errors and stop there. Ours ranks every finding by what it is worth, explains why it happened, and maps how to recover it.
Your audit is run by coders who keep the claims we manage at a 98% clean-claim rate. We catch errors other firms miss, because preventing them is our day job.
Your audit is handled by coding experts with 15+ years in your specialty, not general auditors. The coding rules for cardiology are not the rules for behavioral health, and we never treat them as if they were.
Your ranked findings report lands within 48 hours of your reports export arriving, while the claims are still young enough to appeal, correct, and rebill.
Track every audit finding, every recovered dollar, and every A/R improvement in a live portal. You see the same numbers we see, with nothing hidden behind a summary.
Works with reports from Epic · athenahealth · eClinicalWorks · NextGen · AdvancedMD · Tebra · DrChrono, and most other EHR and billing systems.
What we review, how much we review, and how fast you get it, before you pay anything.
Days of claims, coding, and payments reviewed in every free audit
Hours from your reports export to your ranked findings report
Checks covering coding, modifiers, necessity, charge capture, denials, payments, payer policy, and A/R aging
Patient PHI required to run your free audit
Questions before the first claim is reviewed.
Your first audit is free. We review your last 90 days and show you where revenue is leaking before you pay anything, with no obligation. If you later choose a full audit or recovery work, the price depends on your claims volume, specialties, and payer mix, and you see it in writing before any work starts.
We run 8 checks on your last 90 days: coding accuracy, modifier use, medical necessity, charge capture, denial patterns, payment accuracy against your contracted rates, payer policy and compliance, and accounts receivable aging. Together they show what was billed, what was paid, and what should have been paid.
Just a reports export. Send claims, payments, denials, and accounts receivable reports for the last 90 days from the system you already use. There is no EHR sync, no software change, and no patient PHI required.
Within 48 hours of your reports export arriving. You receive a ranked findings report while the claims are still young enough to appeal, correct, and rebill, instead of a summary weeks later when deadlines have passed.
No. The free audit runs on your reports export, not on live system access or patient charts. Your data transfer is HIPAA compliant and encrypted, and your findings stay 100% confidential.
We work with reports from Epic, athenahealth, eClinicalWorks, NextGen, AdvancedMD, Tebra, DrChrono, and most other EHR and billing systems. If your system can export claims and payment reports, we can audit them.
Yes, older claims and accounts receivable can be reviewed, and the free audit starts with 90 days on purpose. Recent claims are the most recoverable. Anything older is judged against each payer's filing and appeal deadlines, so you only chase money that can still be collected.
Yes. The audit is an independent check, not a replacement pitch. Your biller gets a ranked list of specific fixes, and you get a clear view of what is working, what is leaking, and what to correct first.
Internal reviews check work with the same habits that created it, and they usually happen only when time allows. We audit billing every day, across specialties and payers, so repeat denial patterns, underpayments, and undercoding stand out fast, including the ones a busy in-house team has stopped noticing.
A findings report that ranks every issue by recoverable value. For each finding you see what happened, why it happened, and the step by step fix, covering coding, denials, underpayments, and accounts receivable. You also get a recovery roadmap that shows what to correct, appeal, or rebill first.
No, it lowers it. Finding upcoding, unbundling, and modifier errors yourself, then correcting them, is far safer than having a payer or the OIG find them first. The audit shows you where the risk sits while you can still fix it on your own terms.
No obligation at all. You can fix the findings with your own team, ask us to handle the recovery work, or move your billing to us. The report and the roadmap are yours either way, and the choice happens after you have seen the numbers.
At least once a year for most practices, and sooner after a biller change, a new provider, a new EHR, or a sudden rise in denials or accounts receivable days. Coding rules, payer policies, and staff habits change constantly, and a regular audit catches drift before it becomes a write off.