Medicus helps practices identify revenue that should be collected but is not appearing in reports or reimbursements. Reviews focus on underpayments, unbilled services, fee schedule issues, denial patterns, and workflow breakdowns that quietly reduce income.

The goal is collecting what the practice has already earned rather than adding volume. These losses are individually small and invisible in aggregate, which is exactly why they persist for years without anyone catching them.

Underpayment Analysis

Remittance is compared line by line against your contracted rates. Payers underpay against their own contracts more often than most practices believe, and because the claim shows as paid rather than denied, nothing flags it. The money is recoverable, but only if someone is checking.

Unbilled Service Review

Encounters are reconciled against the schedule to find visits and procedures that were performed and never billed at all. Charges dropped during an EHR migration, cases held for documentation and forgotten, services rendered by a provider whose charges never got entered.

Coding Revenue Gap Review

Documentation is compared against the codes submitted to find visits billed below what the note supports. Undercoding is the single most common finding in a chart review. The work was performed and the documentation supports it, and the claim still went out at a lower level.

Chronic Denial Pattern Analysis

Denials are grouped by reason, payer, provider, and code to separate one-off problems from systematic ones. A denial that recurs every month is not a billing error, it is a process error, and it keeps costing money until the process changes.

Contract Reimbursement Review

Payer agreements are reviewed against actual collections to determine whether current contracts still make financial sense. Some contracts quietly stop being worth participating in, and that only becomes visible when the reimbursement is measured against the cost to deliver.

Revenue Recovery Action Planning

Findings are turned into a prioritized plan with dollar figures attached, so you can see what is recoverable now, what requires a process change, and what needs a payer conversation. A list of problems is not useful without an order to work them in.

• A written findings report with specific examples, not a summary of impressions
• Dollar estimates attached to each category of loss
• A prioritized recovery plan separating quick wins from process changes
• A working session to walk your team through what we found and why it happened

Cyndi Walker has spent more than forty years in medical billing and holds Certified Medical Coder and Certified Healthcare Business Consultant credentials. When we tell you a claim was underpaid against contract, that finding holds up in a payer conversation.

We will review a sample of your claims and put a number on it.