Billing Audits & Consultancy
An independent read on your current billing operation, with a prioritized fix list.
What it covers
- Coding accuracy review against documentation
- Denial pattern analysis by payer and reason
- AR aging and timely-filing exposure review
- EMR/PMS configuration and workflow review
- Fee schedule and contracted-rate comparison
- Prioritized remediation plan
Where practices lose money here
Problems that look like staffing problems
Most billing losses are workflow defects, not effort defects. Adding people to a broken process makes the process more expensive, not more effective.
Denial reports nobody acts on
A denial report that is not grouped by root cause is a list, not a finding.
Fee schedules that were never compared
If nobody has compared paid amounts to contracted rates recently, underpayment is likely and invisible.
How Medway handles it
- We audit a defined claim sample against documentation, in both directions.
- Denials are grouped by root cause and ranked by recoverable dollars.
- AR is reviewed for timely-filing exposure so urgent items surface first.
- You get a prioritized fix list — what to change, in what order, and what it is worth.
What you get
- An independent, evidenced read on your billing operation
- Denials ranked by recoverable value, not volume
- Timely-filing exposure quantified
- A fix list you can act on with or without us
Get a free audit of your billing audits & consultancy claims. Send us a recent aging report and we will show you, in writing, where the recoverable revenue is — no cost, no commitment.
Frequently Asked Questions
You send us a recent accounts receivable aging report and, where possible, a denial export. We review them and give you a written breakdown: where recoverable revenue is sitting, which denial reasons are costing you most, what your timely-filing exposure looks like, and the fixes we would make in priority order. It is yours to keep whether or not you work with us. Please do not include patient health information — we only need claim-level financial data.
Most of the timeline is payer enrollment and EDI setup, and neither is fully in our control — that is the honest answer. Practices already enrolled with their payers typically start seeing claims go out within two to three weeks. Where new enrollments or revalidations are needed, budget longer, because the payer sets that pace. We tell you which of the two you are in after looking at your current setup.
Solo practitioners are often the strongest case for it, not the weakest. A one-person billing office has no redundancy — a vacation or a resignation stops your revenue cycle, and the cost is not the temp, it is the AR that ages and the claims that pass their filing deadline while nobody is working them.
Access to your existing EMR/PMS, your payer list and contracts, your fee schedule, and a recent AR aging report. If you are moving from another biller, we also need clarity on who works the open AR at transition — that is the single most commonly mishandled part of a billing switch.
