How We Recovered $4.1M in Missed Payments
A real-world recovery built on audit precision and payer accountability.This case study details how our team recovered $4.1 million in missed revenue from Zero Balance Accounts after performing a deep audit of our client’s payment activity. By reviewing all assigned accounts, payment reports, check copies, and system activity, we uncovered a series of discrepancies that had prevented proper reimbursement.
Key findings included:
  • Payments that had been retained instead of forwarded as agreed
  • Posted amounts that did not match actual check totals
  • Payments applied to incorrect patient accounts
  • Audit logs and reports withheld from our team, later revealing hidden checks
Through detailed account reviews, payment reconciliation, and cross-verification of supporting documentation, we were able to identify and correct over $1.4 million in unreported revenue. This recovery effort demonstrates the power of consistent ZBA audits, transparent workflows, and proactive financial oversight.
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How We Recovered $4.1M in Missed Payments
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