RCM Auditing that works as hard as you do.
Most practices know they are losing revenue but not where. A Nexra Connect RCM audit reviews your revenue cycle from patient access through final collections. We analyze your claims, denials, coding, payments and A/R, then deliver a clear report with specific findings and a prioritized action plan. Many practices start with our free billing audit before choosing a service.
What's included
- Front-end and patient access review
- Charge capture and missed charge analysis
- Coding accuracy and E/M distribution audit
- Claim submission and rejection review
- Denial trend and root-cause analysis
- Payment posting and underpayment review
- A/R aging and collection effectiveness
- Payer contract and fee schedule comparison
- Compliance risk assessment
- Written report with prioritized action plan
Clear diagnosis
See exactly where revenue is lost, quantified by area.
Prioritized fixes
An action plan ranked by financial impact and effort.
Compliance check
Identify coding and documentation risks before a payer does.
Independent view
An objective outside review of your billing team or vendor.
How we deliver rcm auditing.
Discovery
- Kickoff call and goals
- Read-only system access
- Reports and sample data collected
- Workflow interviews with staff
Data analysis
- KPIs benchmarked
- Denials and rejections analyzed
- Payments compared to fee schedules
- A/R aging reviewed
Coding review
- Random sample of encounters audited
- E/M distribution compared to peers
- Modifier and bundling review
- Documentation gaps identified
Findings report
- Revenue impact by area
- Compliance risks
- Root causes
- Prioritized recommendations
Action plan
- Walkthrough call with your team
- Quick wins identified
- Implementation support available
- Follow-up review option
The partner behind your revenue.
- Objective review from experienced RCM specialists
- Findings quantified in dollars, not just percentages
- Coding audit by certified coders
- Practical, prioritized recommendations
- Free initial billing audit available
RCM Auditing questions, answered.
What do we need to provide?
Usually read-only access to your practice management system, or a set of standard reports, plus a sample of encounters for coding review. We send a simple checklist at kickoff.
How long does an audit take?
A free billing audit typically takes about one week. A comprehensive RCM audit usually takes two to four weeks depending on practice size.
Is the audit useful if we already have a billing company?
Yes. An independent audit is one of the best ways to check whether your current vendor is performing well.
Are we obligated to use your services afterward?
No. The audit is yours to keep and act on however you choose.