Medxcode medical billing and coding

Find the leakage before a payer finds the exposure

An independent, line-item review of your coding, billing and A/R that ends in a quantified remediation plan — not a 40-page report nobody reads.

7–12%
Typical revenue leakage found
10 days
Audit turnaround
100%
Findings tied to dollars
Free
Initial 90-day audit
Medical billing specialist collaborating with a clinician

Talk to a medical billing audit specialist

Send us your numbers. You get a written analysis of what is recoverable, within one business day.

HIPAA-aware handling. We never share your details. No contracts to sign to talk to us.

Practices rarely need a new opinion about their billing. They need a number. A Medxcode billing audit produces one: how much revenue is leaking, where it leaks, what it costs to stop, and what recovering it is worth.

We audit as an independent party — including auditing other billing vendors — and every finding is expressed in dollars, not adjectives.

What the audit examines

The audit covers the full cycle, because leakage is rarely confined to one stage. A clean coding department cannot save a practice that writes off timely-filing denials.

  • Coding accuracy: undercoding, overcoding, modifier misuse, E/M level distribution
  • Charge capture: missed charges, unbilled encounters, unposted procedures
  • Claim scrubbing effectiveness and first-pass acceptance rate
  • Denial patterns by payer, reason code, provider and service line
  • A/R aging distribution and write-off practices
  • Payer contract compliance and underpayment detection
  • Patient responsibility collection rate and statement cycle
  • Credentialing status gaps that invalidate claims
  • Compliance risk: documentation support, medical necessity, audit exposure

What you receive

A findings register where each item carries an estimated annual dollar impact, an owner, an effort level and a priority. Plus a one-page executive summary a partner or board can read in five minutes.

  • Quantified revenue leakage total with confidence range
  • Prioritized 30 / 60 / 90-day remediation plan
  • Coding audit results with chart-level examples
  • Denial root-cause analysis and prevention rules
  • Underpayment recovery list ready to appeal
  • Compliance risk register

Audit frequency we recommend

A full audit annually, focused coding audits quarterly, and a continuous denial review monthly. Practices with new providers, new payer contracts, or a recent EHR migration should audit within 90 days of the change — those three events produce the majority of leakage we find.

How it works

Onboarding that does not interrupt your clinic

  1. 01

    Scope and access

    Read-only access to 90 days of claims, remits and A/R data. No workflow disruption.

  2. 02

    Line-item review

    Coding sample audit, denial analysis, contract comparison and A/R aging review.

  3. 03

    Quantify

    Every finding is converted to an annual dollar impact with a confidence range.

  4. 04

    Remediation plan

    Prioritized fixes with owners and timelines, delivered on a walkthrough call.

Packages

Medical Billing Audit packages built around volume, not lock-in

Managed service fees start at 3.99% of monthly collections. Specialized projects receive a written custom scope based on volume, complexity and the work required.

Free Revenue Audit

$0

90-day claim review

Any US practice evaluating its current billing performance

  • 90 days of claims and denials reviewed
  • Leakage estimate with dollar range
  • Top five denial root causes
  • A/R aging health check
  • Findings walkthrough call
Most chosen

Full Practice Audit

Custom scope

proposal based on audit scope

Practices that want a complete, documented audit

  • 12 months of data reviewed
  • Chart-level coding audit (30 charts per provider)
  • Payer contract underpayment analysis
  • Compliance risk register
  • Written findings report and executive summary
  • 30/60/90-day remediation plan

Audit Retainer

Custom scope

proposal based on audit scope

Groups and multi-site organizations

  • Quarterly coding and billing audits
  • Continuous denial trend monitoring
  • New-provider audit within 90 days of start
  • Payer policy change monitoring
  • Board-ready quarterly reporting
  • Payer audit response support

Calculator

See the numbers before you talk to us

Revenue leakage estimator

Estimate the annual leakage hiding in your current billing operation before we audit it.

$3,200,000

Total collections across all providers last year.

9%

Industry range is 5–12% for practices without regular audits.

4%

Share of billed revenue written off as uncollectible.

Estimated annual recoverable revenue

$0

Estimated annual revenue leakage an audit typically surfaces

Annual collections
$3,200,000
Identified leakage
$0
Compliance exposure avoided
$0

Estimates use benchmark recovery rates from comparable US practices. Your written analysis replaces these estimates with numbers from your own payer mix.

Want this modelled on your real data?

Send the form your figures and we will rebuild this estimate from your payer mix, fee schedule and current aging — free, in writing, with no obligation.

  • Written analysis within one business day
  • Line-item view of recoverable revenue
  • Root-cause list for your top denials
  • No contracts required to receive it
Try the full custom cost calculator →

Send me this analysis

We will use the figures you moved above as a starting point.

HIPAA-aware handling. We never share your details. No contracts to sign to talk to us.

Proof

Medical Billing Audit results from real practices

FAQ

Medical Billing Audit questions we get every week

Is the free audit really free?
Yes. The 90-day audit is free and carries no obligation. We do it because it is the most honest sales conversation available in this industry.
Will you audit our current billing company?
Frequently. We provide an independent assessment and, if your vendor is performing well, we will say so in writing.
Does the audit disrupt our staff?
No. We work from read-only data exports and remit files. Expect one scoping call and one findings call.