Protect Your Practice. Maintain Complete Financial Integrity.
Credit balances can expose medical practices to severe compliance risks, audit scrutiny, and costly penalties under CMS regulations and the False Claims Act. Often caused by duplicate payments, posting errors, or coordination-of-benefits mistakes, credit balances must be resolved systematically.
ACL Healthcare Services delivers thorough credit balance auditing, investigating every account, validating overpayments, and preparing compliant refund disbursements.
Credit Balance Resolution Workflow
Comprehensive Credit Ledger Audit
We review credit balance aging reports, examining every patient account to isolate whether the credit stems from posting errors or genuine overpayment.
Payer EOB & Remittance Validation
We verify primary and secondary explanation of benefits to identify duplicate payer checks, misapplied copays, or uncontracted adjustments.
Payer Takeback Reconciliation
When insurance carriers recoup funds automatically from future remittance cycles, we reconcile the adjustment to prevent ledger imbalance.
Audit-Ready Refund Processing
Legitimate overpayments are packaged with supporting documentation for practice approval and refund issuance, maintaining full compliance safety.