• Non-compliant managed care discounts – silent PPO’s, timely payment violations, wrongful application of HMO rates instead of lesser discounted PPO rates, etc,
• Contractual underpayments – due to incorrectly loaded or outdated rates, short-payments, erroneously bundled charges, incorrect application of benefits, etc,
• Wrongful denials of either: days, procedures or entire claims,
• Unreasonable “usual and customary reductions” or “line item reductions”,
• Various other forms of underpayments.
• Since 1996, PPO Check has continued to excel as the industry leader in providing auditing and consulting services for our hospital and health system clients.

We've generated hundreds of millions of dollars for our clients (as much as $55 MILLION for one hospital client) from closed zero insurance balance accounts – many times after the same patient account data had been previously scrutinized by our clients’ internal processes and policies as well as by one or more other auditing firms.