ClaimCarePro
Free A/R Audit — Tampa Bay Practices

Medical Billing Audit Services

ClaimCarePro's medical billing audit services start with a free A/R audit: we review 90 days of claims, aging and denials for your practice and show where revenue is leaking before any contract is signed. Plain numbers, not guesses.

Get My Free A/R AuditCall (844) 772-8902

Every audit includes

  • Aged A/R breakdown: 30 / 60 / 90 / 120+ day buckets by payer
  • Denial pattern review — recoverable vs. written off
  • Payer-by-payer recovery estimate in real dollars
  • Coding & credentialing gap check
  • Plain-English findings report, walked through live

No credit card. No obligation. No upfront fees — ever.

Your Revenue Is Aging Faster Than You're Recovering It

This isn't a staffing problem — it's a visibility problem.

If you've ever pulled an aging report and felt a knot in your stomach, you're not alone. Claims sit past 90 and 120 days. Front-desk turnover creates coding gaps nobody catches until a payer flags them. Your billing staff — however capable — is stretched between patient calls, prior authorizations, and a growing denial queue they can't fully work.

Industry benchmarks suggest that practices without dedicated denial and aged accounts receivable management routinely leave collectible revenue unrecovered. How much differs by practice — every payer mix and billing setup is different — and that is exactly the kind of gap a focused audit is built to uncover.

Most unrecovered revenue traces back to a handful of recurring, fixable issues:

  • Denials never resubmitted or appealed within the payer's timely-filing window (see why medical claims get denied)
  • Aged claims — 90, 120, and 180-plus days — written off because nobody had bandwidth to pursue them
  • Credentialing or payer enrollment gaps that trigger systemic denials across an entire payer relationship
  • Coding errors that repeat on the same CPT/ICD combinations, quietly draining revenue month after month
  • Prior authorization delays that stall reimbursement until claims slip past recovery windows

You can't recover what you can't see. Most practices don't have a systemic view of their aging buckets, denial patterns, and payer-specific recovery rates all in one place. That's precisely the gap the audit closes. To check your own numbers first, see how to calculate days in A/R and read an aging report.

What a medical billing audit covers

Twelve places revenue leaks, checked against your own claims data — front desk to final payment.

  • Eligibility and front-end data — demographic, insurance and authorization errors that start a claim on the wrong foot
  • Charge capture — services performed but never billed, or billed late
  • Claims scrub and clearinghouse rejections — the rejection reasons that send claims back before a payer ever adjudicates them
  • Coding gaps — CPT/ICD-10/HCPCS and modifier combinations that deny, underpay, or don't match the documentation (under-coding and over-coding risk both)
  • Aging buckets — 30 / 60 / 90 / 120+ day A/R by payer
  • Timely-filing exposure — which open claims are about to age out of each payer's filing or appeal window
  • Denial reasons — CARC/RARC patterns sorted into recoverable vs. written off
  • Underpayments vs. contracted rates — paid amounts checked against what each payer agreed to pay
  • ERA and payment posting gaps — remits never posted, mis-posted adjustments, and write-offs nobody approved
  • Patient-balance leakage — copays, deductibles and secondary claims that never moved to the right party
  • Credentialing and enrollment gaps — lapsed enrollment or revalidation that causes denials across an entire payer
  • Workflow handoffs — where claims stall between the front desk, the biller and the clearinghouse

What you get back

A plain-English written findings report — aging by payer, denial patterns, and a payer-by-payer recovery estimate in dollars where the data supports one — walked through with you on a live call. The flow is a quick conversation, a secure data review (we aim to return findings in 5–7 business days), then the walkthrough. The review is done by our team, with 30+ years of combined RCM and coding experience, not handed to a software report.

Free A/R audit vs a paid billing audit

The free A/R audit is a 90-day review. We pull the last 90 days of claims, aging and denials, find the patterns, and estimate what is recoverable payer by payer. It costs nothing, and you keep the findings report whether or not you work with us.

A deeper paid billing audit goes further: a chart-level coding review against documentation, a line-by-line check of payments against each payer's contracted fee schedule, a longer look-back period, and a workflow review of how charges move from the front desk to the clearinghouse. Pricing for a deeper review is quoted after the free audit, once we know what it needs to cover.

How It Works: 3 Simple Steps

Fast, low-friction, and genuinely free — not a lead-in to a hard sell.

  1. 1

    A Quick Conversation

    A short call about your billing setup, your EHR or practice management system, and the pain points you’re seeing. No commitment, no sales pressure — this is discovery, not a pitch.

  2. 2

    Secure Data Review

    With your permission, a secure data pull under a signed business associate agreement. Our team — 30+ years of combined RCM and coding experience — reviews your aging reports, denial trends, and payer mix. We aim to return findings in 5–7 business days.

  3. 3

    Live Walkthrough of Findings

    We walk through exactly what’s recoverable and why, in plain English. You leave knowing your real numbers — not estimates pulled from industry averages.

From there, you have two paths, and both are genuinely no-risk: if you move forward, recovery work begins on a contingency basis — you only pay from money we actually recover. If you don't move forward, you keep the report and insights at no cost. No fine print, no follow-up invoice.

Start Step 1 — Book the Quick Conversation

Why ClaimCarePro

30+
Years combined RCM & coding experience
~95%
First-pass clean claims on established accounts
2,000+
Claims worked

30+ Years Combined RCM & Coding Experience

Not a call-center outsourcer reading from a script — a team that specializes in revenue cycle management for independent practices.

Contingency-Based Recovery

We don't get paid unless you get paid. Our incentives are 100% aligned with yours — we pursue every recoverable dollar, not just the easy ones.

Dollars Quantified First

You see the actual recoverable revenue number before committing to anything. That transparency is the entire point of the audit.

Local Florida Team

Tampa Bay and Pinellas County based. We know Florida payer mixes — Medicaid MCOs, regional commercial plans, and seasonal snowbird billing patterns.

Secure, BAA-Covered Process

BAA signed upfront, encryption throughout. Security is built into every step, from the initial data pull to the final report.

Free Resources Included

Every audit request includes our 90-Day A/R Recovery Checklist and Medical Claim Denial Code Cheat Sheet — yours to keep either way.

Free downloads while you decide: The 90-Day A/R Recovery Checklist (PDF) — the exact sequence for working down an aging backlog — and The Medical Claim Denial Code Cheat Sheet (PDF) — common CARC codes translated into plain English with next steps.

Frequently Asked Questions

Is the audit really free, with no strings attached?
Yes. Requesting the audit does not commit you to anything: no contract, no minimum term, and no obligation to use our recovery or billing services afterward. You keep the findings report either way. We built it this way so you can see your real numbers before deciding who handles your billing.
How is my data protected?
We sign a Business Associate Agreement (BAA) before any data changes hands, and all data transfer and storage is encrypted. We ask your practice to provision a read-only reporting login for the review — we never ask you to share your own credentials.
What if the audit finds nothing recoverable?
In our experience, most practices have some level of recoverable A/R sitting in their aging reports — but if yours doesn't, you walk away with a clean diagnostic report at no cost. There is no hidden fee for "just looking."
How does contingency pricing work?
We only get paid from what we recover for you. Our aged-A/R recovery rate is a flat 10% of what we recover — you keep 90%, and no recovery means no fee. The audit comes first, so you see what is recoverable before you commit to anything.
What happens to my data if I don't move forward?
It doesn't stick around. If you choose not to engage after the audit, we delete the data pulled for the review, and the BAA we signed still governs everything we saw. You keep the findings report; we don't keep your data.
How much do medical billing audit services cost?
The initial A/R audit costs nothing: a 90-day review of your claims, aging and denials. If the findings point to a deeper problem, such as a chart-level coding or payer-contract review, pricing for that deeper review is quoted after the free audit, once its scope is known. Recovery work afterward is 10% contingency.
What does a medical billing audit look for?
A medical billing audit looks for revenue a practice earned but never collected. We check claim scrubbing and front-end edits, coding gaps on repeat CPT/ICD-10 combinations, aging buckets by payer, denial reasons, underpayments against contracted rates, and credentialing or enrollment gaps that cause payer-wide denials. Findings carry a dollar estimate where the data supports one.
How long does a medical billing audit take?
The free A/R audit runs in three steps: a short conversation about your billing setup, a secure data review, and a live walkthrough of the findings. We aim to return findings in 5–7 business days, and the data pull usually takes about 20 minutes. A deeper paid audit is scoped and scheduled separately.
What is the difference between a billing audit and a coding audit?
A coding audit checks whether CPT, ICD-10 and modifier choices match the documentation. A billing audit follows the money: eligibility, claim rejections, denials, aging, payment posting and underpayments. Our free A/R audit is a billing audit with a coding gap check built in; a chart-level coding review is part of a deeper paid audit.
How often should a practice get a medical billing audit?
At least once a year, and any time the warning signs show up: A/R over 90 days keeps growing, denials climb on the same codes, a payer changes its rules, or an in-house biller leaves. Each of those is a point where revenue starts leaking quietly, and a 90-day review shows whether it already has.
What EHR/practice management systems do you work with?
We regularly work with Athenahealth, eClinicalWorks, Kareo/Tebra, AdvancedMD, and most major practice management platforms. If you are on a system not listed here, reach out — chances are we have worked with it or something comparable.
What should I expect from an RCM partner beyond the audit?
A question worth asking any billing partner before you sign anything. We have written a full breakdown covering everything from reporting cadence to communication standards. Read it here: RCM partner expectations for Tampa Bay independent practices.

Request Your Free A/R Audit

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Every Month You Wait, More Claims Age Past Recovery

Claims older than 120 days become significantly harder to recover, and the window keeps closing while your team handles everything else. There's no downside to finding out what's recoverable — and a real cost to waiting.

Book My Free A/R Audit NowCall (844) 772-8902