Money leaks quietly — a denied claim, a short-pay, a deposit that never lands. Reconcile billed vs. paid vs. deposited every month and those gaps surface in weeks, while appeals and rebills are still on the table, instead of at audit time.
For every period, three figures should reconcile: what you billed, what the payer says it paid (the remittance/835), and what actually hit your bank. When they diverge, that difference is denials, short-pays, adjustments, or a missing deposit — and each one is money you either recover or lose.
Appeals and rebills run on deadlines. A denial you find during month-end close can usually be corrected and resubmitted; the same denial found a year later at audit is just lost revenue. Monthly reconciliation is the difference between recovering the money and writing it off.
It also protects you the other direction: catching an overpayment early lets you handle it on your terms, not the auditor’s.
NavSuccess does this for home care & healthcare agencies — see Reconciliation services.
Monthly at minimum, as part of closing the books. Weekly claim follow-up plus a monthly full reconciliation catches the most, the soonest.
Denials, partial payments, contractual adjustments, timing, and occasionally deposits that never posted. Categorizing the difference tells you whether to appeal, rebill, or record it.
Sometimes — but appeal and rebill windows close. The earlier you catch a gap, the more of it you keep, which is the whole case for reconciling monthly.
Book a free 30-minute consultation. We’ll look at where your books and compliance stand and show you exactly what we’d take off your plate.