Maximize Revenue. Recover What You're Owed.

At Legacy Consulting Services, we don't just review claims - we recover revenue, identify hidden trends in underpayments, and ensure your practice or hospital is paid what it deserves through expert healthcare reimbursement analysis.

Our national team of reimbursement experts specializes in working with small physician practices, large medical groups, and hospitals to uncover real financial opportunities through strategic reimbursement analysis.

Zero balance doesn't mean paid in full. Let us prove it.

Legacy Consulting Services provides national reimbursement analysis services tailored to physician practices, hospitals, and behavioral health organizations. Our expert team helps you identify underpayments, analyze zero balance claims, and recover missed reimbursement based on payer contract terms, coding accuracy, and documentation integrity.

We specialize in:

  • Healthcare reimbursement consulting

  • Contract reimbursement reviews

  • Managed care reimbursement analysis

  • Revenue integrity reviews

  • Underpayment recovery services

  • Zero balance audits

  • Contract compliance verification

  • EOB reconciliation and denial management

  • Healthcare reimbursement consulting

  • Contract reimbursement reviews

  • Managed care reimbursement analysis

  • Revenue integrity reviews

  • Underpayment recovery services

  • Zero balance audits

  • Contract compliance verification

  • EOB reconciliation and denial management

What Sets Legacy Apart in Reimbursement Analysis?

Most companies offer basic claims reviews. We go deeper.

Legacy delivers a comprehensive reimbursement intelligence approach: combining contract analysis, zero balance audits, payer behavior tracking, and denial trend analysis into one ROI-focused service.

We help uncover:

  • Underpayments from commercial and government payers

  • Improperly denied or low-paid claims

  • Missed revenue due to coding or credentialing gaps

  • Contract misalignments and overlooked fee schedule updates

iStock-697375418

What Makes Reimbursement Analysis Critical?

iStock-667050622

Even clean claims can leave money on the table. That's why we analyze both fully paid and denied claims against your contracted rates and historical data.

With increasing payer complexity, you can't afford to assume you're being paid accurately. Many issues are discovered through payer reimbursement analysis and further identified using reimbursement audit techniques to pinpoint where revenue is slipping away.

Our team typically uncovers:

  • 10-15% additional revenue through missed or underpaid claims

  • Payer discrepancies dating back 12-18 months

  • Missed appeals windows due to unnoticed claim closures

What's Included in Legacy's Reimbursement Analysis?

Contract vs. Payment Audit Recalculated claim-level payments based on payer terms
Zero Balance Review Review of $0 paid claims to identify missed payments
Denial Trend Evaluation Root-cause analysis to reduce future rework
Appeal Opportunity Identification Strategic appeal suggestions with full documentation
Credentialing & Coding Checks Validation that provider setup supports reimbursement
Recovery Roadmap Action plan to pursue dollars owed

Partner With Legacy for a Smarter Bottom Line

Choosing Legacy Consulting Services means working with a national leader in reimbursement analysis and healthcare revenue recovery. We help hospitals, physician practices, and medical groups uncover missed payments, payer underpayments, and revenue leakage that others often overlook.

Our payer underpayment audits, zero balance claim reviews, and contract compliance evaluations are designed to ensure your claims are billed, coded, and paid accurately-every time. With deep expertise in Medicare, Medicaid, and commercial payer reimbursement, our team delivers actionable insights that increase cash flow, strengthen payer accountability, and protect your organization's financial health.

Whether you're looking to validate payment accuracy, recover underpaid claims, or prevent future revenue loss, Legacy's healthcare reimbursement consulting services provide measurable ROI. Our proven process combines technology, data analytics, and hands-on expertise to help you achieve maximum reimbursement.

Why Legacy Consulting Services?

  • National Reach. Local Impact.

    We know payer trends across all U.S. markets.


  • Beyond analysis. Into Recovery.

    We don't just show what's missing - we help you go get it.


  • Experienced Across Specialties.

    From primary care to behavioral health, physical therapy, psychiatry, surgery to SNFs, we understand your reimbursement model.

Schedule your free reimbursement assessment today. Call Us: 334-954-1076

Frequently Asked Questions

What Our Customers Have to Say

Featured Articles

price lists

Hospitals are Posting Price Lists

In January of this year, a rule went into effect requiring hospitals to publish their price lists, or charge masters publicly on their websites. The rule applied to all of the nearly 6,000 hospitals in […]

Read More
antibiotic

Drug Price Legislation Faces Challenges

In May we released an article about a proposed rule coming down from CMS regarding drug prices in advertising. In June we noted that drug companies were fighting this rule in court. This month we […]

Read More
drugmakers

Drugmakers Sue Over Drug Prices in Ads

Pharmaceutical companies like Amgen Inc, Merk & Co, Eli Lilly and Co, as well as the Association of National Advertisers,  filed a lawsuit Friday, May 14th against the Trump Administration regarding the new CMS final […]

Read More
Prescription Benefits

CMS Final Rule for Drug Prices in Advertising

A rule proposed in October of last year has become final on May 8, 2019. This rule would mandate that pharmaceutical companies publish the prices of any medication with a list price greater than $35 […]

Read More

Schedule your free reimbursement assessment today.