Audit Defense and Medicare Audits - J&T Revenue Solutions

Medicare, Medicaid and commercial payers. Laboratory and molecular claims are a particular strength.

Complete, organized record submissions that answer the payer’s actual question.

Response strategy, provider education and documentation fixes while claims are held.

RAC, UPIC and commercial special investigations, including extrapolated overpayment demands.

Reconsideration requests and corrective action plans built on a documented evidentiary record.

Redetermination and reconsideration filings, with coordination with counsel for later levels.

Internal coding audits and policy reviews before a payer asks, not after.

Confirm who is asking, what they want and every deadline.

Pull the claims and documentation, and check them against payer policy.

A complete submission with policy citations, on time, tracked to receipt.

Correct the coding, documentation or process that triggered the review.

CPCO and CPC credentials, with years of Medicare compliance work.

We run revenue cycles, so we read a claim the way the auditor does.

Panel coding, MUEs and medical-necessity rules are where lab audits start.

When a case needs counsel, we build the billing record they rely on.

Send us the letter. We'll tell you where you stand.

A free, confidential first review. Please don’t email patient records before we’ve set up a secure channel.