Practice Revenue Cycle Audit
A full diagnostic of your billing and revenue cycle — scorecard, trends, denials, write-offs, appeals and a practice-specific SWOT — so you know exactly where revenue is leaking before you fix it.
Free with every engagement: Before we take over a single claim, we run a full Practice Revenue Cycle Audit against your last 12 months of billing data — at no cost. Request your free audit →
8 Areas Assessed
Every audit follows the same structured scope, so results are consistent, comparable month over month, and easy for your team to act on.
- Practice Scorecard — a single-page summary of the KPIs that matter: gross and net collection rate, days in AR, denial rate, first-pass resolution rate and clean claim rate.
- Billing & Revenue Trend Analysis — a 12-month view of charges, payments, adjustments and net revenue, so seasonal patterns and drift are visible instead of hidden in monthly noise.
- Collection % vs. Specialty Benchmark — your gross and net collection percentage measured against the specialty average — for example, the cardiology benchmark — so you know if you're ahead or behind peers, not just last month.
- Top Insurance Accounts Receivable — your highest-dollar and oldest-aging payer balances ranked, so follow-up effort goes where the money actually is.
- Top Denial Codes & Changes Required — your leading CARC/RARC denial codes ranked by dollar impact, paired with the specific front-end or coding change needed to stop each one recurring.
- Write-Offs & Adjustments Review — every write-off category (contractual, timely filing, small balance, bad debt) broken out and checked for approvals, so nothing collectible is being adjusted off in error.
- Appeal Efficacy Review — appeal volume, turnaround time and overturn rate by payer, showing which appeal strategies are actually recovering revenue and which are wasted effort.
- Missed Revenue Opportunities — underpayments, uncoded/uncharged services, timely-filing losses and stalled claims quantified in dollars, not just flagged.
SWOT Analysis
The audit closes with a practice-specific SWOT — Strengths, Weaknesses, Opportunities and Threats — that ties the seven data areas above back to a plain-language action plan your team can actually execute.
Strengths
What's already working well — payer mix, clean claim rate, or a collections process that's outperforming benchmark.
Weaknesses
The specific bottlenecks costing revenue right now — a denial pattern, a stalled AR bucket, an under-negotiated payer.
Opportunities
Underpayments, uncoded services and preventable denials that translate directly into recoverable revenue.
Threats
Payer rule changes, timely-filing exposure and shifting authorization requirements that could erode revenue next.
What You Receive
At the end of the engagement you get a single report covering all eight assessed areas plus the SWOT — in plain language, with dollar figures attached to every finding, not generic commentary. Where an issue is fixable upstream (a coding pattern, a front-desk eligibility gap, a payer-specific denial trigger), the report names the fix, not just the symptom.
Specialties We Support
Benchmarks and denial patterns vary by specialty, so every audit is run against the correct peer group — not a generic industry average.
Frequently Asked Questions
What does the Practice Revenue Cycle Audit cost?
The audit is free and comes with no obligation. We use it to scope any follow-on engagement accurately, and you keep the report either way.
What data do you need from our practice?
Typically 12 months of billing system exports — charges, payments, adjustments, AR aging and denial/remit data. We work with whatever your practice management or EHR system can export; no new software required.
How long does the audit take?
Most audits are completed within 5–7 business days of receiving complete data, with a walkthrough call to review findings and the SWOT with your team.
Is this the same as the Revenue Cycle Health Check?
The Health Check maps revenue leakage across five process areas. The Practice Revenue Cycle Audit goes deeper on the financial data itself — scorecard, trends, benchmarking, AR, denials, write-offs, appeals and a SWOT — and is typically the next step after a Health Check.
Know Exactly Where Revenue Is Leaking
No cost, no obligation — just a clear picture of your practice's revenue cycle, benchmarked and prioritized by dollar impact.
Request Your Free Audit →