Insurance Audits
Work with a team that gets it, from A to Z!
At REVNEO, we go beyond claims submission; we deliver comprehensive Revenue Cycle Management solutions. Explore our end-to-end services below to discover how we can optimize your revenue cycle and drive financial success.
Work with a team that gets it, from A to Z!
At REVNEO, we go beyond claims submission; we deliver comprehensive Revenue Cycle Management solutions. Explore our end-to-end services below to discover how we can optimize your revenue cycle and drive financial success.
Credentialing
Fee Schedule & Payer Contract Management
Appointment Scheduling & Patient Demographics Verification
Advanced Eligibility Verification
Medical Coding Via Medical Records Verification
Primary & Secondary Insurance Billing
Patient Balance Collection & Ledger Reviews
Rejections, Denials & Appeals Management
Insurance Audits
Accounts Receivables Reconciliation
What is an Insurance Audit?
An insurance audit reviews all transactions between your practice and third party payers to ensure you are receiving the correct reimbursements. It highlights underpayments, delayed claims, overpayments, non-covered charges, contract compliance issues and much more.
Streamline credentialing and insurance enrollment so You can focus on patient care.
Why Insurance Audits Matter
Insurance billing is complex, and even small errors or overlooked contract terms can lead to thousands in lost revenue each year. Regular insurance audits not only uncover hidden issues but also ensure that your practice remains financially secure and compliant.
Who Needs Insurance Audits?
- Private practices seeking to maximize reimbursements
- Clinics with high claim volume or frequent denials
- Specialty providers with complex payer contracts
Benefits of Our Ledger and Audit Services
Recover Lost Revenue: Find and resolve hidden underpayments and billing errors
Improve Accuracy: Ensure your ledgers match real-world payments and patient balances
Save Time: Let our experts handle audits so your staff can focus on patient care
Audit Ready Reporting: Stay prepared for internal or external reviews
Better Financial Control: Gain real-time insight into revenue patterns and trends
Our Comprehensive Insurance Audit Process
We combine detailed claim reviews with a proven audit methodology to ensure your practice receives every dollar it’s entitled to.
Data Collection & Ledger Review
We gather claims data, payer contracts, and Explanation of Benefits (EOBs) to establish a complete picture of your revenue cycle.
Reconciliation & Compliance Check
Every claim is reconciled against payer contracts, ensuring that payments align with agreed terms and identifying contract compliance gaps.
Denial & Underpayment Detection
We flag underpaid or denied services, uncover recurring revenue leakage, and identify high-volume payer issues that affect your bottom line.
Recovery & Appeal Guidance
Our team provides targeted recommendations for recovery and appeal opportunities, helping you reclaim lost revenue quickly.
Benchmarking & Insights
We conduct compliance benchmarking and deliver audit-ready reporting with clear financial trends, giving you the insight needed to strengthen negotiations and maintain control.
Why Choose Us
- Deep expertise in multi-specialty medical billing and payer compliance
- Proprietary tools and analytics for faster, more accurate audits
- Transparent reporting tailored to your practice’s unique needs
- Dedicated account managers who work alongside your team
The Revneo Advantage
Dedicated Experts
Our team of billing specialists and marketing professionals understands the unique needs of small medical practices. We focus on helping you maximize collections while building a stronger patient base.
Comprehensive Support
From patient acquisition to insurance billing, we provide end-to-end solutions. You’ll have one partner managing both the financial and growth sides of your practice.
Personalized Attention
We treat every client as unique, tailoring strategies to fit your specialty, location, and goals. Your success is our priority, not a one-size-fits-all template.
Time-Efficient
Our streamlined processes and automations reduce administrative burdens. You and your staff can spend more time on patient care instead of paperwork.
24/7 Access
Stay informed anytime with transparent reporting and real-time dashboards. You’ll always know where your practice stands; day or night.
Growth Catalyst
We don’t just manage billing; we fuel your practice’s expansion. Through proven marketing strategies and optimized revenue cycles, we help you reach the next level.
FAQs About
Insurance Audits Services
Revneo offers superior Insurance Audits Services.
Learn more about frequently asked questions about Insurance Audits Services.
Real Client Success Stories
Discover how REVNEO transforms healthcare practices with powerful revenue cycle management solutions and patient growth strategies. From reducing AR days to boosting patient acquisition. These case studies highlight our measurable impact.
Tackling Coding Inconsistencies and Promoting Revenue
A specialized medical group in Orlando experienced revenue challenges due to coding inconsistencies, leading to high claim denials and delayed reimbursements. Revneo implemented enhanced clinical paperwork, comprehensive coding training. A proactive crisis resolution approach. The results? AR days dropped from 90+ to 30 denials reduced by 40% and revenue grew by over 25%.
Key Takeaways:
- Upgrade coding accuracy and documentation.
- Faster reimbursements and reduced AR days.
- Significant revenue growth.
Overcoming AR Complications for Financial Stability
An Atlanta-based healthcare provider struggled with 120+ AR days and a 28% denial rate because of outdated operational protocols. Revneo conducted a thorough AR cleanup, streamlined denial management and optimized workflows. Within 6 months AR days fell to 45 denials reduced to 6% and revenue built up by 17%.
Key Takeaways:
- Systematic AR cleanup and denial reduction.
- Operational effectiveness and cash flow progress.
- Sustainable financial turnaround.
Boosting Patient Acquisition and Reputation
A multi-specialty medical group faced declining patient numbers and a rusted online reputation. Revneo revamped their digital presence with SEO, targeted campaigns and reputation management. New patient acquisitions rose by 30%, expired patients restarted at 15% and positive reviews grew by 50%
Key Highlights:
- Strategic patient acquisition and renewal.
- Enhanced online reputation and trust.
- Sustained practice growth.
Take control of your revenue today. Schedule a comprehensive insurance audit and practice review to uncover hidden underpayments, reduce denials, and ensure you’re getting paid what you deserve. Let us show you exactly what’s happening in your practice and more importantly, how to fix it.
