Paid is not always paid correctly
Many practices celebrate “paid” claims that are quietly underpaid versus contracted rates.
Build variance reports: expected allowed amount versus paid amount by CPT, modifier, and payer.
Where leakage hides
Watch multiple-procedure reductions, incorrect fee schedules, and outdated contract loads in the clearinghouse.
Set thresholds — for example, any variance over $50 — so staff work material issues first.
Recover with process
AccuMed recovery workflows help practices reclaim underpayments without drowning month-end posting.
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