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Recover Lost RevenueAt Medexa RCM, our medical billing audit identifies inefficiencies, lost revenue, and compliance risks. Our experts review your revenue cycle, analyze KPIs, and deliver actionable recommendations to improve financial performance and practice stability.
500+ Physicians
40+ Specialties
Medical Billers & Coders
RPA Billing Solutions
Clean Claim Rate
Complete Audit InsightsIn our audit, we analyze charges, payments, and operational data across providers, payers, locations, and fee schedules. We also review summaries, coding accuracy, and compliance to ensure alignment with CMS deadlines and payer regulations, helping your practice reduce risks and recover lost revenue.
Financial StrengthOur audit covers Accounts Receivable (A/R) and unresolved claims, providing 360-degree visibility into your revenue cycle. We uncover opportunities to improve cash flow, compliance, and overall financial performance, giving healthcare providers actionable insights to strengthen their bottom line.
Our Success
Value of Claims Processed
Accounts Receivable Days
Turn Around Time
Customer Retention
Healthcare providers face constant challenges in the complex world of revenue cycle management. Ensuring accuracy in billing, maintaining compliance with evolving regulations, and maximizing revenue recovery can feel overwhelming. At Medexa RCM, we understand these pressures and offer precision medical billing audit services designed to streamline your financial processes and uncover hidden revenue opportunities.
Whether you’re a small clinic or a large hospital, Medexa RCM tailors its audits to your specific needs. Our comprehensive analysis pinpoints potential revenue losses caused by claim denials, coding errors, or compliance gaps, giving you actionable insights to improve cash flow and operational efficiency. We use proven methodologies and cutting-edge tools to deliver transparent, data-driven recommendations.
All audits are conducted by AAPC-certified medical coders, ensuring adherence to the highest industry standards and best practices. With Medexa RCM, you gain a trusted partner who helps safeguard your revenue, strengthen compliance, and optimize the financial health of your practice.
KPI-Based AuditChoose Medexa RCM for a medical billing audit built around critical KPIs. Our team uncovers inefficiencies, coding gaps, and denial trends to deliver actionable insights. We go beyond managing your revenue cycle — we optimize it for peak performance, improved cash flow, and stronger compliance.
Medical billing is the process of submitting and following up on claims to health insurance companies to get paid for medical services. This process is complex and involves several steps, starting with patient registration, demographic entry, and insurance verification. Once those steps are complete, the process moves on to charge entry where services are added, then medical coding, where medical procedures are translated into CPT and ICD-10 codes. Then claim submission where the coded claims are sent to insurance for payment.
Our fee is a transparent starts from 2.99 % of net collections—no hidden charges.
We import your payer rules, set up ERA/EFT, and go live in 14 days.
Revenue cycle management (RCM) is the total process of managing the finance of a healthcare organization from patient registration to payment posting. This complex process has many steps, including managed billing, charge capture, coding and insurance verification. Effective RCM allows healthcare facility providers to have an improved cash flow, reduce administrative burdens and optimize their finances. By managing the entire revenue cycle, healthcare specialists can focus more on patient care while keeping their financial house in order.
Medical billing is the process of submitting and following up on claims to insurance companies to get paid for services rendered by healthcare providers. It’s a big part of the revenue cycle and directly affects the financial health of medical provider.
We handle claim denials by thoroughly analyzing the root cause, correcting errors, and promptly resubmitting the claims. For appeals, we gather necessary documentation, follow payer guidelines, and advocate for accurate reimbursement.
Yes, absolutely! We utilize real-time claim scrubbing software to identify and rectify errors before submission. By addressing incomplete information, coding errors, and insurance verification processes, we can streamline billing and improve efficiency.
