Smart Medical Audits for Safer Billing

RCM Audits That Protect Your Bottom Line

Medical audits are not just about finding mistakes — they’re about protecting your revenue, improving operational efficiency, and ensuring your practice stays aligned with payer and regulatory requirements. At AllRCMExperts, our medical audit service gives you a clear, detailed view of your revenue cycle performance — so you can take action before problems become costly.

We don’t just perform audits. We help you understand the story behind your data, spot vulnerabilities in your workflows, and apply real solutions that improve the financial and operational health of your practice.

A Full-Scope Audit of Your Revenue Cycle

Patient Access (Registration and Scheduling)
We review front-end processes to ensure patient information is collected and entered correctly. Inaccurate data at this stage can lead to billing errors later in the cycle — we help you stop the issues before they start.

Pre-Authorization and Eligibility Verification
We evaluate your coverage verification and authorization workflows to reduce the risk of claim denials. Our audit identifies any breakdowns in communication or documentation that could delay or block reimbursements.

Medical Coding and Documentation Review
Our team analyzes your coding accuracy and the quality of supporting documentation. We make sure services are billed according to current coding guidelines and that your documentation fully supports every charge.

Charge Entry Audit
We verify that charges entered into your system are consistent with what was actually performed and documented. Undercoding leads to lost revenue, while overcoding increases compliance risks — we help you avoid both.

Claim Submission Check
Clean claims are critical to steady cash flow. We check for errors or inconsistencies in your submission process that may be causing rejections or slowdowns.

Payment Posting Review
We assess whether payments from insurance and patients are being applied correctly and completely. We also identify underpayments and highlight opportunities to recover missing revenue.

Denial Management Audit
We analyze your denial trends and evaluate your follow-up processes. By uncovering root causes, we help you reduce repeat denials and improve first-pass claim resolution rates.

Accounts Receivable (AR) Monitoring
Our audit pinpoints where payments are getting stuck. Whether it’s payer delays or internal follow-up issues, we provide a clear plan to improve AR recovery and shorten payment cycles.

Patient Billing and Collections Review
We examine how patient balances are calculated, communicated, and collected. From billing transparency to collection follow-up, we help you improve the patient payment experience while securing more revenue.

RCM Reporting and Analytics
We provide a detailed audit report with actionable insights. You’ll be able to make informed decisions to improve every stage of your revenue cycle — from front desk to final payment.

Comprehensive Chart Audits

We review your clinical documentation and coding to identify inaccuracies, missed revenue, and compliance risks—before payers do.

Post-Payment Audits

We help you identify and correct issues in previously paid claims, minimizing refund demands and protecting revenue.

Risk Adjustment Audits

We assess HCC coding and documentation to ensure accurate risk scores and optimal reimbursement for value-based care.

Custom Audit Reports & Action Plans

Get clear reports with findings, risk areas, and actionable steps to improve accuracy, compliance, and performance.

Coding Accuracy Reviews

Our certified coders analyze your coding practices to ensure they meet payer guidelines and avoid under- or over-coding issues.

Compliance & Regulatory Checks

We assess your processes against CMS, HIPAA, and payer regulations to reduce risk and keep you audit-ready.

Pre-Bill Auditing

Catch errors before they go out the door. Our pre-bill audits prevent denials, rework, and compliance issues.

Provider Education & Feedback

We turn audit insights into learning opportunities—training your team to document and code better moving forward.

Why Choose AllRCMExperts for Your Audit?

    • Deep experience across multiple specialties and practice sizes

    • Audits tailored to your systems and workflow, not one-size-fits-all templates

    • Clear reporting with practical recommendations

    • A team that works with you beyond the audit if needed

    • Results that lead to measurable improvement — not just paperwork

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