Protect Your Practice. Recover Lost Revenue. Stay Audit-Ready.
Stop leaving money on the table! Ensure every charge is captured and billed correctly, while safeguarding your practice from audits.
Medical billing errors can lead to lost revenue, compliance issues, and increased scrutiny from payors like Medicare and BCBS. Our Billing Integrity Audits ensure that your practice captures all charges accurately, remains compliant, and receives proper reimbursement for services provided.
Comprehensive Billing Audits Tailored to Your Needs
We provide a thorough audit of your entire billing system or focus on specific areas of concern based on your practice's unique needs. Our expert team conducts detailed billing and coding reviews or audits per payor and per provider to ensure proper documentation, correct coding, and appropriate billing levels for each claim.
Billing errors are more common than most practices realize-and they can cost you thousands in lost revenue and expose your organization to audits and penalties. Our Billing Integrity Audits dive deep into your current processes, claims data, and documentation to identify gaps, recover lost revenue, and strengthen compliance.
What Our Billing Integrity Audits Include:
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Charge Capture & Compliance Review
Ensuring all billable services are properly documented and submitted.
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Billing & Coding Analysis
Identifying gaps in CPT codes, diagnosis codes (ICD-10), and modifiers.
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Reimbursement Maximization
Confirming that your practice receives the highest allowed reimbursement.
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Underpayment & Overpayment Identification
Detecting fee schedule discrepancies and potential revenue losses.
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EOB Reviews & Claim Assessments
Analyzing Explanation of Benefits (EOBs) for accuracy.
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Billing Process Optimization
Strengthening internal billing workflows and compliance efforts.
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ICD-10 Training & Compliance Support
Providing education and guidance on proper coding practices.

Actionable Insights and Implementation Support
Following the audit, we deliver a comprehensive action plan that highlights deficiencies and areas for improvement. Our team is available to assist with implementing the recommended changes through our Medical Billing Services, ensuring ongoing compliance and optimized reimbursement.
Why Choose Our Billing Integrity Audits?
- Reduce the risk of Medicare Medicaid and BCBS audits
- Improve billing accuracy and compliance
- Maximize reimbursement with proper coding
- Identify and resolve billing errors efficiently
- Strengthen internal billing compliance processes
- Deep expertise in RCM, compliance, and payor policies
- Proven methodology with measurable results
- Trusted by private practices, physician groups, and hospitals nationwide
The ROI is Real
- Clients report a 15-20% revenue increase after audit implementation
- Reduced denials, faster reimbursements, and fewer compliance risks
- Immediate insight into billing vulnerabilities before payors find them
Secure. Precise. Profitable.
Don't wait until a payor audit catches you off guard. Our Billing Integrity Audits ensure your revenue is protected, your coding is clean, and your claims are optimized for maximum reimbursement.
Frequently Asked Questions
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Billing Integrity Audits – How They Help Your Practice Grow
One of the many services Legacy Consulting provides is Billing Integrity Audits. There are several layers to this kind of audit and we can provide all or just some of the pieces, depending on our client’s needs. These audits can prove useful to assure compliance and ensure your practice is being reimbursed properly for its […]
Read MoreTake Control of Your Billing Integrity Today
Legacy Consulting Services brings decades of healthcare revenue cycle and compliance expertise to every engagement. We don't just audit-we transform your billing operations for long-term profitability and peace of mind.
Take the First Step Toward Revenue Confidence.
Schedule your free billing integrity consultation audit and safeguard your revenue.