Clinical Charge Audits
Uncover missed revenue. Strengthen charge integrity.
Our RN-led clinical charge audits identify missed revenue, validate charge accuracy, and uncover opportunities to strengthen compliance and financial performance.
> In a recent case study, we uncovered a 33% error rate post-EHR transition
Key Benefits
Capture Missed Revenue
Identify undercharges and services that have not been appropriately captured.
Strengthen Charge Accuracy
Validate charges against documented services, treatments, and care.
Reduce Compliance Risk
Identify unsupported charges and strengthen long-term charge integrity.
TRUE PARTNERS
Trusted by leading health systems nationwide
For more than 30 years, healthcare organizations have trusted Managed Resources to uncover revenue opportunities, strengthen compliance, and improve revenue cycle performance.
More than an audit, stronger revenue integrity
Identify Missed Revenue Opportunities
Uncover documented services, treatments, and levels of care that may not have been accurately captured, helping your organization recover appropriate revenue.
Apply Deep Clinical Expertise
Our registered nurses evaluate charges against medical record documentation, written orders, treatments, and services to provide an informed clinical perspective on charge accuracy.
Strengthen Long-Term Charge Integrity
Turn audit findings into actionable insights that help improve workflows, reduce recurring discrepancies, educate teams, and strengthen revenue capture moving forward.
Trusted by the best














Trusted since 1994
Advisors, partners, extensions of your team
- Clinical Expertise
- Audit Excellence
- Revenue Integrity
- Trusted Advisors
- Proven Experience
Clinical expertise behind every charge audit.
Managed Resources exclusively utilizes registered nurses for clinical charge audit reviews, bringing hands-on clinical knowledge and experience across diverse care settings.
- RN-Led Clinical Charge Reviews
- Licensed and credentials including: CRCR, CCS, CHFP, CRCR, CCFA, CCDS, CDIP, CPC, and more
- Multi-Setting Clinical Experience
- Medical Record & Documentation Review
- Level of Care Validation
- Treatment & Service Validation
- Charge Accuracy & Compliance Expertise
- 100% U.S.-Based Teams
A comprehensive clinical charge audit process
Our structured audit methodology connects clinical documentation with corresponding charges to identify discrepancies, validate accuracy, and uncover opportunities for financial and operational improvement.
Our Process Includes
- Medical record and charge review
- Written order validation
- Level of care review
- Treatment and service validation
- Undercharge identification
- Overcharge identification
- Documentation and charge reconciliation
- Findings analysis and reporting
- Actionable improvement recommendations
Creating value beyond revenue recovery
Every charge discrepancy can reveal a larger opportunity. We transform audit findings into actionable insights that help strengthen workflows, improve charge capture, reduce compliance risk, and support sustainable revenue integrity.
Organizational Benefits
- Capture missed revenue
- Improve charge accuracy
- Identify recurring discrepancies
- Reduce compliance exposure
- Strengthen operational workflows
- Improve documentation alignment
- Support informed decision-making
An extension of your revenue integrity team
We work alongside your revenue cycle, clinical, compliance, finance, and operational leaders to understand findings, prioritize opportunities, and support meaningful improvement.
Our Partnership Includes
- Tailored audit methodologies
- Dedicated clinical expertise
- Transparent communication
- Detailed findings and reporting
- Actionable recommendations
- Education and knowledge transfer
- Scalable support as needs evolve
Trusted By Healthcare Organizations Nationwide
For more than 30 years, Managed Resources has partnered with healthcare organizations to identify revenue opportunities, strengthen compliance, and improve revenue cycle performance.
We are proud to serve: Large Multi-Hospital Health Systems, Academic Medical Centers (AMCs), Integrated Delivery Networks, Community Hospitals, Critical Access Hospitals, Specialty Hospitals, Physician Groups, Federally Qualified Health Centers (FQHCs), and Government Healthcare Organizations.
Why Clients Trust Managed Resources
- 30+ Years Serving U.S. Healthcare Organizations
- RN-Led Clinical Charge Audit Expertise
- Long-Term Healthcare Partnerships
- 100% U.S.-Based Workforce
- Clinical & Revenue Cycle Expertise
- Trusted by Leading Health Systems Nationwide
EHR Fluency






Clinical expertise across the charge lifecycle
Clinical Charge Validation
- Medical Record Review
- Charge-to-Documentation Validation
- Written Order Validation
- Treatment & Service Review
- Level of Care Review
- Emergency Department Charge Review
- Clinical Documentation Analysis
Revenue Opportunity Identification
- Undercharge Identification
- Missed Charge Opportunities
- Revenue Capture Analysis
- Charge Reconciliation
- Financial Impact Analysis
- Recurring Variance Identification
- Service Line Opportunity Analysis
Compliance & Accuracy
- Overcharge Identification
- Unsupported Charge Review
- Documentation Alignment
- Charge Accuracy Validation
- Compliance Risk Identification
- Process Gap Analysis
- Corrective Recommendations
Targeted & Transitional Audits
- Post-EHR Implementation Audits
- Epic Migration & Stabilization Reviews
- Emergency Department Audits
- New Service Line Assessments
- Charge Workflow Change Reviews
- Pre- & Post-Implementation Benchmarking
Performance Improvement
- Root Cause Analysis
- Charge Trend Analysis
- Workflow Assessment
- Process Improvement Opportunities
- Staff Education
- Executive Reporting
- Action Plans & Recommendations
FAQs
What is a clinical charge audit?
A clinical charge audit compares charges against the patient’s medical record, written orders, treatments, and documented services to validate accuracy and identify missed, inaccurate, or unsupported charges.
How can a clinical charge audit identify missed revenue?
Clinical charge audits identify documented services and treatments that may not have been accurately captured or charged, helping healthcare organizations uncover opportunities to recover appropriate revenue.
What does Managed Resources review during a clinical charge audit?
Our registered nurses review medical records, written orders, documented treatments, levels of care, and corresponding charges to identify undercharges, overcharges, discrepancies, and opportunities for improvement.
Why does Managed Resources use registered nurses for charge audits?
Clinical charge accuracy requires understanding the care documented in the medical record. Our registered nurses bring clinical experience across multiple healthcare settings to evaluate whether charges appropriately reflect documented services and treatments.
When is a clinical charge audit most valuable?
Clinical charge audits can be especially valuable during periods of operational change or when revenue leakage is suspected, including EHR transitions or Epic migrations, post-implementation stabilization, emergency department reviews, service line expansion, workflow changes, or unexplained shifts in charge capture and revenue performance. Audits can also help establish a baseline and identify opportunities for ongoing revenue integrity improvement.
What happens after a clinical charge audit is completed?
Managed Resources provides detailed findings and actionable insights to help leadership understand financial opportunities, identify recurring discrepancies, strengthen workflows, and prioritize areas for improvement.
30+ years of Excellence
Testimonials from client partnerships
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Find the revenue your organization is missing
Your organization delivers the care. We help ensure documented services are accurately captured while uncovering opportunities to strengthen compliance and long-term revenue integrity.
> Voted Top RCM Company to Know in 2026 by Becker’s Hospital Review