Medical Billing Audit Services
- 98% First Pass Clean Claim Rate
- 24–48 Hours Claim Turnaround
- 15–30% Revenue Improvement
- 100% HIPAA-Compliant
What a Billing Audit Actually Does
A medical billing audit is a full review of your entire revenue cycle. Our certified coders and billing specialists go through your claims, coding, payments, denials, and A/R, and identify every place where money is slipping through.
Most practices are surprised by what they find. Unsubmitted charges. Unresolved denials. Incorrect write-offs. Coding errors repeating for months without anyone catching them. You cannot fix what you cannot see. An audit shows you exactly what needs fixing.
Ensuring that your needs are met with precision and attention to detail.
What We Audit
Charges and Payment Analysis
We review charge entry and payment posting for accuracy. Missed charges and incorrect payments are identified and quantified.
Coding Accuracy Review
Our certified coders review your CPT, ICD-10-CM, and HCPCS coding against your clinical documentation. Errors and compliance risks are flagged before they cost you more.
Claims and Denial Analysis
We analyze your denial rate, denial categories, and unresolved rejections. Every denied claim is reviewed for root cause.
Accounts Receivable Review
We break down your A/R by aging bucket and payer. Balances beyond 90 days are identified and prioritized for recovery.
Payer and Provider Performance
We review performance by payer and by provider, identifying which payers are underpaying and where denial rates are highest.
Unsubmitted and Pending Charges
Charges that never made it to a claim are identified. This alone often recovers significant lost revenue.
Invalid Write-Offs
Write-offs are reviewed to identify balances that were closed incorrectly and may still be recoverable.
Pending ERAs and No Response Claims
Claims with no payer response are tracked down. Pending ERAs are reconciled against expected payments.
CMS Compliance Check
We verify your claims are being submitted within CMS timely filing limits. Late submissions mean permanently lost revenue.
What You Get After the Audit
You receive a detailed billing audit report with every finding clearly laid out.
Your report covers revenue leakage by category, coding accuracy findings, denial root cause analysis, A/R aging breakdown by payer and bucket, invalid write-off review, and a prioritized list of what needs to be fixed first.
No vague summaries. No generic advice. Just clear findings and exactly what to do about them.
Signs Your Practice Needs a Billing Audit
A structured, transparent workflow, so you always know where your application stands.
Denial rate is above 5%
Industry standard is below 5%. If yours is higher something in your revenue cycle is broken.
A/R aging beyond 60 days
Clean claims should be paid within 30–45 days. Aging A/R means follow-up is not happening consistently.
Revenue is inconsistent month to month
Fluctuating collections usually point to gaps in your billing process.
You recently switched billing companies
Transitions create gaps. An audit identifies what was missed during the handoff.
You have never had an audit done
If your billing has never been reviewed in detail you are almost certainly leaving money uncollected.
Who Conducts the Audit
Your audit is not handled by one person or one department. Our AAPC-certified coders review your coding accuracy and compliance. Our billing specialists review your claims, denials, A/R, and payments. Both work together so every part of your revenue cycle gets reviewed, nothing gets missed.
Who We Help
Our credentialing services support healthcare providers across the United States.
Small and Independent Practices
Limited staff means billing errors go unnoticed longer. An audit finds what has been quietly costing you for months.
Multi-Provider Clinics
More providers means more claims and more room for inconsistency. We audit across every provider and surface performance gaps.
Practices With High Denial Rates
If denials are piling up and nobody is finding the root cause an audit gives you the full picture.
Practices Considering Outsourcing
Before switching billing companies get an audit done. It tells you exactly what your current process is missing.
Why Choose GenMediTech for Medical Billing Audit
It Is Completely Free
Full practice audit at no cost. No hidden fees. No obligation.
Certified Coders and Billing Specialists
Both review your practice together. Coding accuracy and billing performance covered in one audit.
Detailed Audit Report
Every finding documented clearly with a prioritized action list. No vague summaries.
Full Revenue Cycle Coverage
Coding, claims, denials, A/R, write-offs, and CMS compliance, all covered in a single audit.
Integrated with RCM Services
If issues are found our team is ready to fix them immediately. No need to find another vendor.
Full HIPAA Compliance
Every audit workflow follows strict HIPAA protocols. Your data is encrypted and secure throughout.
Frequently Asked Questions
Yes. GenMediTech offers a complete medical billing audit at no cost. No hidden fees and no obligation.
We audit your entire revenue cycle, coding accuracy, charge entry, claims submission, denial patterns, A/R aging, write-offs, pending ERAs, and CMS compliance.
Both our AAPC-certified coders and billing specialists conduct the audit together. Coding and billing are reviewed simultaneously so nothing gets missed.
Timeline depends on your practice size and claim volume. We confirm the timeline during your initial consultation.
Your report covers revenue leakage by category, coding findings, denial root cause analysis, A/R aging by payer, and a prioritized action list.
You receive a detailed report with every finding. If you want our team to fix what we found we are ready to move forward immediately.
Yes. Every step follows strict HIPAA protocols, encrypted data handling and controlled access throughout the process.
Find Out Exactly Where Your Revenue Is Going
Most billing problems are invisible until someone looks for them. Our certified coders and billing specialists are ready to audit your entire practice and show you exactly what you are missing.
