Medical Practice Billing Consulting

The audit reviews every step from patient scheduling to final payment: eligibility verification, prior authorization workflows, charge capture and coding, claim submission timing, denial follow-up, and payment posting. We identify where revenue is leaking and why.

At minimum annually. Medicare updates physician fee schedules every January, and commercial payer rates often change at contract renewal. A fee schedule that has not been reviewed in two or more years is almost certainly undercharging on some CPT codes.

A payer mix analysis shows the proportion of your revenue coming from each payer — Medicare, Medicaid, BCBS, Aetna, self-pay, etc. — and the effective reimbursement rate from each. It helps identify whether your practice is optimally positioned or whether certain payer relationships should be renegotiated or ended.

Yes. RevantaRCM provides process documentation and can work directly with your in-house billing staff where needed. The goal is to leave your practice with better processes, not dependency on external consulting.

Either. Most practices start with a one-time audit and action plan, then implement changes independently. Others prefer ongoing consulting as part of a full-service billing relationship. RevantaRCM is flexible on engagement structure.