Medical Billing
Audit Services
Find Out Exactly Where Your Practice Revenue Is Disappearing
GenMediTech delivers free, complete medical billing audit services conducted by AAPC-certified coders and senior RCM specialists working in parallel. We trace every revenue leak in your practice — unsubmitted charges, silent write-offs, expired filing windows, repeating denial patterns. You receive a documented report with the dollar value of what's recoverable. No obligation. No follow-up pressure.
Request Your Free Audit
Our specialists will respond as quickly as possible.
What Practices Typically Find in Their First Audit
Ranges reflect findings across small and mid-size practices we've audited. Your numbers depend on specialty, payer mix, and current billing workflow.
Unsubmitted Charges
Invalid Write-Offs
Recoverable Aged A/R
Denial Patterns
Timely Filing at Risk
These are representative ranges, not guarantees. The actual dollar value of findings in your practice depends on specialty, volume, payer mix, how long billing has been running without an independent review, and whether a vendor transition occurred in the last 12–24 months.
Why an Independent Audit Is the Only Way to See the Full Picture
Most revenue leakage is invisible from the inside. Your billing team — whether internal or outsourced — is the same team that created the gaps. They will not surface their own errors.
An independent audit breaks that cycle. A second set of eyes with no stake in protecting the existing workflow reviews every layer — coding, submissions, denial handling, payment posting, A/R follow-up, and CMS compliance.
How Our Medical Billing Audit Process Works
Five structured steps from intake to report delivery. Your staff workflow is never interrupted.
Discovery Call and Audit Scoping
We start with a short conversation to understand your specialty, payer mix, EHR, billing setup, and the symptoms you're seeing — high denials, slow payments, inconsistent collections, or a recent billing company switch. This call defines audit scope.
Secure HIPAA-Compliant Data Access
We configure HIPAA-compliant, read-only access to your EHR and billing platform. A signed BAA is in place before any PHI is touched. Your staff workflow is never interrupted. Your current billing company doesn't need to be informed.
Dual-Layer Coding and Billing Review
AAPC-certified coders audit CPT, ICD-10-CM, HCPCS, and modifier accuracy. In parallel, RCM specialists audit claim submission, denials, A/R aging, write-offs, and timely filing exposure. Findings feed into one consolidated report — cross-referenced, not siloed.
Audit Report Delivery in 5 to 10 Days
You receive a structured audit report with every finding documented, dollar-quantified where applicable, and prioritized by recovery impact. Each finding shows what was found, where it occurred, and the corrective action required.
Findings Walkthrough and Next Steps
We schedule a call to walk you through the report, answer questions, and explain the corrective actions. Whether you act on it internally, hand it to your current billing company, or bring us in to remediate — that decision stays entirely with you.
What Our Medical Billing Audit Reviews
Eight layers reviewed in full — coding, claims, A/R, write-offs, payments, payer performance, timely filing, and compliance.
Medical Coding Accuracy and Documentation Alignment
Our certified coders review CPT, ICD-10-CM, and HCPCS Level II coding against your clinical notes. We check modifier usage, NCCI edit conflicts, bundling errors, upcoding and downcoding risk, and documentation gaps that expose your practice to denials or compliance findings.
Charge Capture and Unsubmitted Claim Recovery
We compare encounters in your EHR against charges entered in your billing system. Missed visits, dropped procedures, and unbilled services are identified and quantified. This category alone often surfaces five-figure recoveries in practices that have never been audited.
Claim Submission and Denial Pattern Analysis
Every denial in your recent claim history is reviewed by reason code, payer, provider, and CPT. We separate one-off denials from recurring patterns. The second category is where the real revenue is leaking. Each pattern is traced to its upstream cause: eligibility, coding, documentation, or authorization.
Accounts Receivable Aging and Recovery Review
A/R is broken down by aging bucket, payer, and balance owner — insurance versus patient. Claims sitting in the 60–90 and 90+ buckets are reviewed for appeal eligibility, follow-up history, and timely filing exposure. Recoverable balances are flagged and prioritized by dollar value.
Write-Off and Adjustment Audit
We audit closed balances for invalid write-offs. That includes claims marked uncollectable that were still appealable, contractual adjustments applied incorrectly, and patient balances written off without proper effort. Recoverable write-offs are quantified separately in your report.
Payment Posting and ERA Reconciliation
ERAs and EOBs are reconciled against contracted payer rates. Underpayments, misposted payments, and unposted remits are identified. Where contractual variance exists, it's documented with the dollar impact per payer.
Timely Filing Risk and Compliance Assessment
Every payer has a filing deadline. Claims approaching or past those deadlines become permanently unrecoverable revenue. We flag every claim at risk so you know exactly what needs to go out before it converts into a loss — sorted by days remaining.
Payer and Provider Performance Analysis
We surface which payers are underpaying, which are denying at abnormal rates, and which providers in your group have outlier patterns — including high denial rates, coding inconsistency, or documentation gaps. This is the layer most audits skip entirely.
Inside Your Billing Audit Report
Not a slide deck. Not a sales document. A working report your billing team can act on directly — dollar-quantified and prioritized by recovery impact.
Executive Summary
Total findings, total recoverable revenue identified, top three risk areas, and the corrective priority order.
Coding Findings
Specific CPT, ICD-10-CM, and modifier errors with claim-level references, frequency, and compliance risk level.
Denial Root Cause Analysis
Top denial codes by volume and dollar value, traced to their upstream cause with corrective action for each pattern.
A/R Recovery List
Claims still within appeal or follow-up window, prioritized by dollar value and time sensitivity.
Write-Off Recovery List
Invalid and premature write-offs flagged for re-billing or appeal, with estimated recovery value.
Timely Filing Exposure
Every claim at risk of crossing a filing deadline, sorted by days remaining and payer.
Payer Performance Summary
Underpayments, denial rates, and turnaround times by payer — benchmarked against expected performance.
Corrective Action Plan
What to fix first, what to fix next, and what process changes prevent recurrence — actionable by any billing team.
The report is yours to act on however you choose — internally, through your current vendor, or with GenMediTech. There is no obligation attached to receiving it.
When Your Practice Needs a Billing Audit
You don't need a crisis to justify an audit. You need one of these signals.
Denial Rate Above Benchmarks
A first-pass denial rate above 5% means something upstream is broken — coding, eligibility, authorization, or documentation. An audit isolates which.
A/R Aging Past 60 Days Creeping Up
Clean claims resolve in 30–45 days. Aging beyond that means follow-up cadence has collapsed, even if your billing reports look fine on the surface.
Inconsistent Month-to-Month Collections
If monthly revenue swings without a clear clinical reason, the cause is almost always inside the billing workflow — not patient volume.
A Recent Billing Company Transition
Handoffs between billing vendors create gaps. Charges get dropped. Aged claims get abandoned. An audit identifies what was lost — usually within the first 60 days when recovery is still possible.
You're Evaluating Outsourcing
Before signing with any RCM company, audit your current state. You'll negotiate from facts, not promises — and you'll know exactly what a new vendor needs to fix.
You've Never Had an External Audit
If no independent reviewer has ever looked at your revenue cycle, you are losing money you don't know about. That's not a guess — it's the consistent finding across every practice we've audited.
Who Conducts Your Medical Billing and Coding Audit
Two specialist tracks running in parallel — not one generalist working through a checklist.
AAPC-Certified Medical Coders
Our certified coders audit clinical-to-claim accuracy across every CPT, ICD-10-CM, and HCPCS code in your claim history. They check modifier logic, NCCI compliance, documentation alignment, and bundling errors — identifying both denial-causing errors and compliance exposure.
Senior RCM Specialists
Our RCM specialists audit the billing workflow from submission through collection. Denial patterns, A/R aging, payment posting accuracy, write-off discipline, timely filing exposure, and CMS compliance are reviewed against your actual claim data — not a sample.
Findings from both tracks are consolidated into one report. Coding errors driving denials are cross-referenced with the denial patterns they cause. You see the full chain — not isolated symptoms from two separate reviews.
Why Practices Choose GenMediTech for Medical Billing Audit Services
The same detailed audit we provide in paid engagements. Offered free because most practices choose us to fix the issues afterward — but the report is yours regardless.
Genuinely Free, Genuinely Complete
The same audit as paid engagements — no gated findings, no upsell required. You receive everything regardless of whether you hire us.
Coders and Billing Specialists Together
Both conducted in parallel — findings cross-referenced in one consolidated report. Full cause-and-effect chain, not isolated symptoms.
Dollar-Quantified Findings
Every recoverable item carries a dollar value — specific amounts, specific payers, sorted by filing deadline. Numbers you can act on immediately.
Independent Review — No Conflicts
We are not auditing claims we submitted. No incentive to soften findings. Whatever the data shows is exactly what your report says — unfiltered.
Full HIPAA Compliance from Day One
Read-only access, signed BAA, encrypted data handling. Your PHI never leaves a compliant workflow. Data purged per HIPAA protocols on delivery.
Remediation-Ready, Not Required
If you want us to fix the issues, our RCM team can take over. If not, the report is built to be actionable by any billing team or vendor.
Frequently Asked Questions
Common questions about how the audit works, what's required, and what happens after.
Is the medical billing audit actually free, or is there a paid tier?
It's fully free. One audit, one report, no upsell required to access findings. Practices that choose remediation services typically do so because the findings justify it — not because the report is gated behind a paid tier.
What do you need from us to start the audit?
A signed BAA, read-only access to your EHR and billing platform, and a 30-minute discovery call. That's the full setup. We handle configuration and ensure nothing in your daily workflow is touched or interrupted.
How long does the audit take from start to report delivery?
5 to 10 business days for most practices. Larger multi-provider groups or high-volume specialties may extend to 12 to 15 days. The timeline is confirmed in your discovery call before any work begins — no surprises.
Will the audit disrupt our billing operations or current billing company?
No. The audit runs entirely on read-only access. Nothing in your workflow is touched, paused, or modified. Your current billing company doesn't need to be informed unless you choose to involve them in the findings review.
Can you audit claims if we use a billing company other than GenMediTech?
Yes. The audit is independent by design. Whether your billing is internal, outsourced, or mid-transition, the review covers the same scope. The independence is actually the point — we have no stake in protecting any existing workflow.
What happens to our data after the audit is complete?
Audit data is retained only as long as required for report delivery and any follow-up questions, then purged per HIPAA retention protocols. Full data handling terms are documented in the BAA before any PHI is accessed.
Do we have to use GenMediTech for remediation after the audit?
No. The report is yours. You can act on it internally, route it to your current billing vendor, or bring us in. There's no clause, no obligation, no follow-up sales sequence. The decision stays entirely with you.
Stop Guessing What Your Billing Is Costing You
Every month a billing audit gets postponed is another month of denials going unworked, write-offs going unreviewed, and timely filing windows closing. The findings don't go away. They compound.
Request Your Free Audit
Our specialists will respond as quickly as possible.