Pricing
Recovery Pricing.
Contingency-based recovery — our fee is determined during your consultation based on your specific case. First, the numbers behind the work.
What Underpayment Costs
Before you look at fees, look at the numbers. Underpayment is measured and reported every year by federal agencies and independent researchers.
$31.7B
Improper Medicare fee-for-service payments, FY 2024
CMS
19%
In-network claims denied by ACA insurers, 2024
KFF
95%
Appealed Medicare Advantage denials overturned
HHS OIG
Providers have recovered — in court
$421MSt. Charles Surgical Hospital v. BCBS Louisiana
Jury verdict, 2024 — underpaid claims across roughly 9,000 procedures.
100+ suitsIn re MultiPlan (MDL 3121)
Consolidated provider actions over out-of-network repricing.
$7.3BFTC report on the three largest PBMs
Revenue above acquisition cost on specialty generics, 2017–2022.
Most practices never check. Claims are paid, posted, and closed. The shortfall is never measured — which is exactly why it persists.
Contracted Rate Recovery
Audit against your submitted carrier contracts
Fee Schedule Recovery
Audit against the Medicare fee schedule, no contracts
Fees apply only to amounts actually recovered.
Have questions before starting?
Call: 813-767-8225 · Email: hello@jabaudit.com