After auditing dozens of practices across multiple specialties, the same revenue leaks show up over and over. Here's what I see most often:

1. Undercoding

Providers document the work but coders default to lower-level E/M codes "to be safe." That caution costs you $30-80 per visit across hundreds of patients per month.

2. Unworked denials

The average practice has a 5-10% denial rate. Most billing teams rework less than half of those denials. That's money sitting on the table — payers are counting on you not appealing.

3. Credentialing gaps

New providers joining your practice who aren't credentialed with all payers from day one means every visit during that gap is either written off or billed at out-of-network rates.

4. Payer contract complacency

If you haven't renegotiated your payer contracts in the last 2-3 years, you're almost certainly below market rates. Payers don't proactively offer better terms.

5. Charge capture failures

Procedures performed but never billed. Labs ordered but charges never entered. It happens more than you think, especially in high-volume practices.

The fix isn't complicated — it's systematic. Most of these are process problems, not people problems. A proper revenue cycle audit identifies exactly where the leaks are and how much they're costing you.

If any of these sound familiar, that's what we do at Health Claim Guard.