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You will get Audit report of Your Denials & Identify Root Cause of Revenue Leakage


Project details
Stop guessing why your claims are denying: Plug your revenue leaks at the source.
A high denial rate isn't just a billing error; it’s a structural revenue leak. I am a Healthcare IT (MBA) & B.Pharm professional serving as your Lead RCM Specialist. Before you commit to a massive cleanup, let my team diagnose the exact root cause of your rejections.
When you purchase this audit, I deploy my most senior backend resources—including Certified Coders & Senior Auditors. We perform a forensic deep-dive into your most stubborn denied claims. We don't just tell you what denied; we map out why the clinical or coding logic failed & deliver a comprehensive Action Plan to permanently fix your workflow.
Our Operational Standards:
Security & Compliance: 100% HIPAA Compliant. Work exclusively inside YOUR secure RDP/VPN or EMR.
Clinical Oversight: Every audit report is personally reviewed by me for clinical and technical accuracy.
Tracking Flexibility: We offer Live Upwork Tracker for auditing hours OR a Fixed-Price diagnostic model.
Advanced Analytics: Expertise in Google Workspace & Power BI for data-driven insights.
Note: This diagnostic ensures you stop repeating the same costly mistakes
A high denial rate isn't just a billing error; it’s a structural revenue leak. I am a Healthcare IT (MBA) & B.Pharm professional serving as your Lead RCM Specialist. Before you commit to a massive cleanup, let my team diagnose the exact root cause of your rejections.
When you purchase this audit, I deploy my most senior backend resources—including Certified Coders & Senior Auditors. We perform a forensic deep-dive into your most stubborn denied claims. We don't just tell you what denied; we map out why the clinical or coding logic failed & deliver a comprehensive Action Plan to permanently fix your workflow.
Our Operational Standards:
Security & Compliance: 100% HIPAA Compliant. Work exclusively inside YOUR secure RDP/VPN or EMR.
Clinical Oversight: Every audit report is personally reviewed by me for clinical and technical accuracy.
Tracking Flexibility: We offer Live Upwork Tracker for auditing hours OR a Fixed-Price diagnostic model.
Advanced Analytics: Expertise in Google Workspace & Power BI for data-driven insights.
Note: This diagnostic ensures you stop repeating the same costly mistakes
Project Type
Data Entry, Project Management, OtherWhat's included
| Service Tiers |
Starter
$200
|
Standard
$350
|
Advanced
$600
|
|---|---|---|---|
| Delivery Time | 5 days | 7 days | 10 days |
Number of Revisions | 0 | 1 | 1 |
Optional add-ons
You can add these on the next page.
Fast Delivery
+$50 - $200
Fix The Claims (For each 25 claim block)
(+ 3 Days)
+$250
Video Walkthrough
(+ 1 Day)
+$75Frequently asked questions
About Pranita
Enterprise Web Architect & Automation Expert|Serverless E-Commerce SPA
Pune, India - 3:34 am local time
As a Certified Scrum Master, Business Analyst, and the Managing Partner of a US Healthcare RCM agency, I build web solutions with a CEO’s mindset. I understand that your website isn’t just a brochure—it needs to be a secure, high-converting asset that drives ROI and lowers operational overhead.
My expertise lies in building blazing-fast, secure, and highly scalable Single Page Applications (SPAs) and E-commerce platforms from scratch. I do not rely on slow, clunky CMS frameworks like WordPress or vulnerable third-party plugins. Instead, I engineer custom, serverless ecosystems using pure HTML5, CSS3, and Vanilla JavaScript, integrated with logic-heavy automated backends.
My Core Capabilities:
Zero-Plugin E-Commerce & Carts: Custom pricing logic, dual-currency toggles, and seamless checkout integrations.
Serverless Automation & Fulfillment: Secure API integrations that instantly deliver digital products and handle complex backend routing.
Interactive Dashboards & SaaS UI: Engaging ROI calculators, multi-step secure verification portals, and dynamic corporate hubs.
Enterprise-Grade Security: My background in strict US Healthcare compliance (HIPAA) ensures that your user data and payment gateways are architected with maximum security in mind.
Whether you need a high-ticket digital product storefront, a corporate agency umbrella, or an automated lead-capture portal, I deliver live, responsive solutions with flawless cross-device performance.
I operate on transparency, strict QA protocols, and structured milestone deliveries. Let’s build something powerful.
Top Skills
1. Front-End Development
2. Web Application
3. E-Commerce Development
4. JavaScript
5. HTML5
6. API Integration
7. Web Architecture
8. Business Analysis
Steps for completing your project
After purchasing the project, send requirements so Pranita can start the project.
Delivery time starts when Pranita receives requirements from you.
Pranita works on your project following the steps below.
Revisions may occur after the delivery date.
Secure Data Access
We establish RDP/VPN connection. You send the list of claims to be audited.
Root Cause Analysis
My team reviews each claim against payer guidelines (Medical Necessity, Coding, Eligibility).




