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.