Find Out What Your Billing Is Leaving on the Table
Most practices do not know their denial rate, how much of their accounts receivable is already past the filing deadline, or which payer is quietly paying below contract. The free billing audit answers those three questions in writing, from your own remittance data, in five business days. It is a real deliverable produced by a billing specialist for your specialty, not a sales call with a slide deck.
- Denial rate by CARC reason code and by payer, with dollars attached
- A/R over 90 days by payer, split into recoverable and past timely filing
- Open claims within 30 days of a payer filing deadline
- E/M level distribution by provider and modifier 25 and 59 patterns
- A ranked list of what to fix first, and what each fix is worth
Request Your Free Billing Audit
Fields marked * are required. A billing specialist, not a salesperson, calls or emails within one business day to arrange secure access.
What the report covers
Five sections, each with a number and a dollar figure attached.
- Denials: every denied line from the month, grouped by claim adjustment reason code and by payer, so you can see whether the money is going to CO-16 registration errors at the front desk, CO-97 bundling denials from coding, or CO-197 authorization denials from scheduling.
- A/R aging: receivables in 0 to 30, 31 to 60, 61 to 90, 91 to 120 and over 120 days by payer, with the balance still recoverable separated from what has passed each payer's filing limit.
- Filing deadline watch: open claims within 30 days of a payer's timely filing limit, so they can be sent before they become write-offs.
- Coding: E/M level distribution by provider against the specialty norm, plus modifier 25, modifier 59 and unit patterns that invite denials or audits.
- The fix list: what we would change first, second and third, with the reason code or aging bucket each fix addresses and what it is worth in dollars.
What we need from you
Two things. A month of 835 electronic remittance files or paper EOBs, and an A/R aging summary by payer from your practice management system. Read-only system access for a week is faster and lets us read coding patterns; a secure file transfer works if you would rather not grant access. Most practices have both items ready in under an hour.
Who the audit is for
Independent practices with one to about twenty providers: physician offices, therapy clinics, behavioral health groups, urgent care centers and specialty practices. It is most useful when a billing employee has left or is about to, when A/R over 90 days has grown past a quarter of the total, when a new practice manager wants a baseline, or when you are deciding whether to switch billing companies and want an independent read on the current one.
It is not a compliance audit or a legal opinion, and it does not replace a formal coding audit with a statistically valid chart sample, which we quote separately as a project.
What happens with the findings
The report is yours. Some practices use it to fix their own process: tighten eligibility checks, change an encounter template, add a scrubber edit. Some hand us the old A/R as a project priced on contingency. Some move the full billing cycle to DyBilling after a parallel run. The quote, if you want one, is based on the denial rate, payer mix and aging the audit found, so it reflects your practice rather than a rate card; the pricing page shows what that quote includes. There is no pressure attached to any of the three outcomes, and the agreement if you proceed is month to month after an initial 90 days.
From Request to Written Report in Five Business Days
Request
Fill in the form or call. We reply within one business day to confirm the two things we need: a month of 835 remittances or EOBs and an A/R aging summary by payer from your practice management system.
Secure access
We sign a Business Associate Agreement before anything is shared. Most practices give read-only access to their practice management system for a week; a secure file transfer works if you prefer.
Review
A billing specialist for your specialty groups every denied line by reason code and payer, ages the A/R against each payer's filing limit, and reads E/M levels and modifiers by provider.
Written report
Within five business days you get the report and a 30-minute call to walk through it. What you do next is up to you; there is nothing to sign to receive it.
Free Billing Audit: Common Questions
Yes. There is no fee, no deposit and nothing to sign except the Business Associate Agreement that lets us look at your data. If you go ahead with DyBilling afterwards, the quote is based on what the audit found. If you do not, you keep the report.
One month of electronic remittance advice files or paper EOBs, and an accounts receivable aging summary by payer from your practice management system. Read-only access to the system is faster and lets us check coding patterns, but a secure file transfer works if you prefer.
Five business days from the day we receive the data. Practices that give us read-only system access on day one usually have the report within the week; waiting on files from a previous billing company is the most common delay.
No. The audit uses your remittances and your aging report, both of which belong to the practice. Nobody outside DyBilling and your practice is contacted, and nothing about the audit is visible to your current vendor.
A Business Associate Agreement is signed before any protected health information is shared. Access is read-only and role-based, staff work under logged logins, files are transferred over encrypted channels, and copies are destroyed after the report is delivered if you do not proceed.
You get a call to walk through the findings and a quote if you want one. Some practices use the report to fix their in-house process, some hand us the old A/R as a project, and some move the full cycle over. All three are fine outcomes.