Revenue cycle underpayment review
Find Payments Below Medicare Benchmarks in 30 Seconds
Use Medicare benchmarks to focus review on payments that may deserve closer attention. Enter what you were paid and estimate the monthly impact of the benchmark gap.
Medicare-benchmark reimbursement review
Compare a payment against the Medicare benchmark for this code.
Full remittance audit for Pro
Upload a remittance CSV and instantly see which payments are furthest below Medicare benchmarks. Payer labels are optional metadata from your file.
Unlock full remittance audits with Pro.
Upload a completed template or remittance CSV and review payments that are furthest below Medicare benchmarks. Export review reports with Pro.
Example Underpayment Review Report preview
Rows checked
1,284
Red flags
47
Yellow flags
103
Total possible benchmark gap
$8,420
Biggest issue
90837
$18.40 below benchmark
Optional payer label
Aetna
Medicare rates are used as a benchmark only. Actual payer contracts, modifiers, place of service, units, and billing rules may affect reimbursement. This tool is for educational and operational review purposes, not legal or billing advice.
