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Credentialing & Revenue Audit
Credentialing & Revenue Audit
A focused review of your enrollment status, billing workflow and aging AR, so you can see what is holding revenue back and what to fix first.
- The initial audit is complimentary
- Scope confirmed before any work begins
- We reply within one business day
01
What the audit looks at
- Provider-by-payer enrollment status and effective dates
- Consistency of NPPES, PECOS and CAQH records
- The billing workflow from eligibility to payment
- Aging AR by payer, age and claim status
- Denial patterns and their root causes
02
What you receive
- A provider-by-payer status tracker with outstanding items
- A prioritized AR worklist and the limits on what can be recovered
- A denial root-cause summary
- Prevention recommendations and clear next steps
03
What we need from you
- The number of providers, the states and your main payers
- A recent aging report summarized by payer and age bucket, with no patient names
- The billing and credentialing systems you use
- The main problem you want fixed
Please do not send patient information or PHI through the website, email, WhatsApp or Messenger.
The process
How it works
01
You request the audit through the form.
02
We confirm the scope and what information is needed.
03
We review your information and share the findings and priorities.
04
You decide on next steps. The scope of any further work is agreed with your practice before work begins.
Cost
The initial Credentialing & Revenue Audit is complimentary. Any further work is scoped with you first and agreed in writing before it begins.
Scope and timing
The scope of each audit depends on the number of providers, states and payers involved. After you submit your request, we confirm what will be reviewed, what information we need and when you can expect the findings, before any work begins. We reply to every request within one business day.
What an audit cannot do
An audit does not guarantee approvals, effective dates or collections. It shows where the gaps are and what to do first.
Keep exploring
Related services
- Credentialing & payer enrollment
- Medical billing & RCM
- AR recovery & denial management
- Medical practices & multi-specialty groups
Last reviewed November 2026.
A clearer path forward
Let’s find what’s holding your revenue back.
Start with a conversation about your practice. No pressure. No promises we can’t support.