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Before the letter arrives

August 21, 2026Ted Jones

A UPIC contractor pulls thirty of your claims for review. Twelve fail documentation. That is a 40 percent error rate. The disallowed dollars on those twelve claims might total twelve or fifteen thousand. Most providers brace for that number, write the check, and move on. Then the demand letter arrives applying that 40 percent rate to the entirety of their billing during the audit window. Twelve months of paid claims. Four hundred thousand dollars. Sometimes more. That is extrapolation. It is...

audits, bflow Solutions, extrapolation, recoupment, Revenue Cycle Management, Ted Jones