Revenue cycle management / TERM EXPLAINED

Fee Schedule Audit

A review comparing contractual expected fees to payer systems or adjudicated claims for identified CPT or CDT services.

A dental practice example

The office samples D2740, D1110 and D4341 after a new fee exhibit goes live.

Why it matters for reimbursement

An audit can reveal loading errors that do not appear as conventional denials.

What to verify

Test multiple codes, dates, networks and location identifiers.

FROM DEFINITION TO DECISION

Turn reimbursement questions into evidence.

PayorMap helps dental groups connect disclosed negotiated rates, provider and network context, and contract details to meaningful benchmarking questions. Coverage and mapping confidence vary by payor and market.