Revenue Shield
Revenue Accuracy & Audit
Connecticut Behavioral Health · CPT Compliance Engine
Total Billed
$1,651.00
At-Risk Revenue
$858.00
Critical Issues
4
Remediated
0
Revenue Stability Meter
Total Billed: $1,651.00Defensible 48%
At-Risk 52%
Defensible Revenue
$793.00
At-Risk Revenue
$858.00
Audit Log
10 claims analyzed| Service Date | Claim ID | CPT Code | Duration | Risk Factor | Financial Exposure | Action |
|---|---|---|---|---|---|---|
| 2026-04-02 | CLM-1001 | 90837 | 45 min | High Risk Critical Recoupment Risk — 90837 requires ≥53 min | $195.00 | |
| 2026-04-03 | CLM-1002 | 90832 | 12 min | High Risk Non-Billable — 90832 requires ≥16 min | $78.00 | |
| 2026-04-04 | CLM-1003 | 90837 | 60 min | Med Risk Improper Coding — POS 10 (Home) missing Modifier 95 | $97.50 | |
| 2026-04-05 | CLM-1004 | 90837 | 55 min | Clean | — | |
| 2026-04-07 | CLM-1005 | 90837 | 60 min | High Risk Cloned Note / Systemic Fraud Risk (100% match with session CLM-1001) | $195.00 | |
| 2026-04-08 | CLM-1006 | 90834 | 38 min | Clean | — | |
| 2026-04-09 | CLM-1007 | 90837 | 40 min | High Risk Critical Recoupment Risk — 90837 requires ≥53 min | $195.00 | |
| 2026-04-10 | CLM-1008 | 90837 | 55 min | Med Risk Improper Coding — POS 10 (Home) missing Modifier 95 | $97.50 | |
| 2026-04-11 | CLM-1009 | 90832 | 20 min | Clean | — | |
| 2026-04-12 | CLM-1010 | 90837 | 58 min | Clean | — |
This tool provides a preliminary self-audit based on common Connecticut Behavioral Health billing rules. It does not constitute legal or compliance advice. All findings should be reviewed by a licensed compliance professional before submission or recoupment response.