Reimbursement Integrity Audit
Are Your Payers Actually Paying What They Promised?
Stop Silent Revenue Loss Before It Becomes a Pattern!
Insurance companies don’t always pay what they’ve contracted — and most practices don’t catch it. At Velocity RCM, we offer a specialized Reimbursement Integrity Audit to analyze your actual payments against your contracted rates by CPT code and payer. This isn’t guesswork — it’s a data-backed reality check that often reveals tens of thousands in missed revenue. We flag discrepancies, underpayments, and billing trends that could be quietly eating into your bottom line.
Let’s uncover your hidden revenue!
Submit your top 5 CPT codes and most common payers — we’ll run a sample reimbursement check for free.
🔍 What We Analyze
We dive deep into your historical payment data and compare it directly to your contracted reimbursement rates. Our audit includes:
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CPT-level analysis across top-used codes
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Contract-to-payment gap detection by payer
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Identification of systemic underpayments
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Insights into fee schedule discrepancies and missed modifiers
This isn’t just about catching errors — it’s about holding payers accountable.
💡 Why It Matters
You might be getting paid, but that doesn’t mean you’re getting paid fairly. Underpayments that slip under the radar can add up to tens of thousands in lost revenue per year. Our audit brings transparency to your revenue cycle, revealing:
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Missed income opportunities
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Payers consistently failing to meet contract terms
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Internal billing issues you can correct proactively
You deserve to be paid every dollar you’ve earned — nothing less.
🚀 What Happens Next
After your audit, you’ll receive a clear summary report with actionable insights:
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Reimbursement gap breakdown
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Recommendations for recoupment
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Optional appeal letter support or payer escalation
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Strategic next steps to prevent future loss
Many clients roll directly into our A/R Recovery Services or Consulting Retainer after realizing how much is being left on the table.
