24/08/2026
If your billing team only tracks denied claims, they're missing the bigger leak.
A denied claim gets rejected. An underpaid claim gets paid — just not enough. Providers lose an estimated 1–11% of net patient revenue annually to underpayments alone. Medicare paid just 83 cents on the dollar in 2024 — over $100 billion in underpayments nationally.
It's not rejected, so it never triggers a denial workflow. On a mid-size practice's volume, this compounds to $250,000–$1.5M a year, undetected. It doesn't show up as a loss. It shows up as 'paid.'
Here's The Underpayment Reconciliation Check — run it this week:
1. Pull your fee schedule and compare it line-by-line against your last 20 remittances.
2. Flag every payment below the contracted rate, even by a few dollars.
3. Check your appeal timeline — most contracts cap disputes at 90–180 days.
Save this. Run check 01 today.
DM us AUDIT — we'll run the full check on your remittances. Free.
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