Where it shows up on the ERA
- CO-45Charge exceeds fee schedule.
- CO-97Bundled into another service.
- OA-23Impact of prior payer adjudication.
A point-in-time audit of your fee schedules, contract loads, modifier usage, and denial trends. Output: a written recovery plan with dollarized opportunities.
Most engagements identify 2–6% of annual revenue in silently lost dollars.