Migration Guide

Switch from Manual Billing Analysis to NPIxray

If your billing analysis consists of reviewing EOBs, eyeballing claims reports, or relying on your billing company's monthly summary, you are likely missing significant revenue opportunities that automated analytics would catch.

Why Switch from Manual Billing Analysis?

Common pain points that drive practices to seek a better solution.

Reactive instead of proactive

Manual billing review is inherently backward-looking. You see what was billed and paid — but you cannot see what should have been billed. Missed revenue from undercoding and unenrolled care management programs goes undetected.

No peer benchmarking capability

Without automated benchmarking, you have no way to know if your coding distribution, care management adoption, or revenue per patient is in line with specialty peers. You could be significantly underperforming without knowing it.

Billing company reports are limited

Billing companies report on what they process — collections, denials, and payment rates. They do not analyze whether you are billing for everything you should be. Their incentive is processing claims, not optimizing your coding.

Care management programs fall through the cracks

CCM, RPM, BHI, and AWV programs require proactive patient identification and enrollment. Manual billing analysis rarely covers these programs because the revenue is not in your current claims — it is in the claims you are not generating.

How to Switch — Step by Step

A simple migration path that takes minutes, not weeks.

1

Run your free NPIxray scan

30 seconds

Enter your NPI number to see a complete Medicare billing analysis in 30 seconds. Compare your E&M coding distribution, care management adoption rates, and revenue per patient against specialty peers.

2

Identify your biggest revenue gaps

15 minutes

Review the specific opportunities NPIxray identifies. Most practices find their largest gaps in E&M coding optimization (99213 vs 99214 distribution) and care management program enrollment (CCM, RPM, AWV).

3

Share results with your billing team

30 minutes

Use NPIxray's reports to start a data-driven conversation with your billing staff or billing company. The peer benchmarks provide objective evidence for coding pattern changes and program implementation.

4

Set up ongoing automated monitoring

5 minutes

Create your NPIxray account for continuous analytics. Instead of manual quarterly reviews, get automated insights and alerts whenever new revenue opportunities are identified.

5

Track your improvement over time

Ongoing

As you implement changes based on NPIxray's recommendations, track your coding distribution and care management adoption moving toward benchmark levels. NPIxray shows your progress over time.

What You Gain

The benefits of switching to data-driven revenue intelligence.

Proactive opportunity identification

See what you should be billing — not just what you already billed. NPIxray identifies revenue you are currently missing.

Objective peer benchmarking

Compare against 1.2M+ providers. No more guessing whether your billing patterns are optimal.

AI-powered prioritization

NPIxray ranks opportunities by dollar impact so you focus on the changes that matter most.

Complete program analysis

Coverage of E&M coding, CCM, RPM, BHI, AWV, and more — the programs manual analysis typically misses.

Automated monitoring

Replace quarterly manual reviews with continuous automated analytics and real-time alerts.

Quantified dollar impact

Every gap comes with a specific revenue number. No more wondering if a change is worth pursuing.

What to Expect

$40K-$100K+/yr

Avg Revenue Gap Found

Across all programs for typical practice

30 seconds

Setup Time

Free scan, no account required

30-50%

E&M Undercoding Found

Of visits coded below documentation support

85%+

Care Management Gaps

Of eligible patients not enrolled nationally

Common Concerns

Answers to the questions practices ask most when considering the switch.

Will NPIxray replace my billing company?

No. NPIxray complements your billing company by providing the analytics layer they do not. Your billing company processes claims; NPIxray identifies whether you are generating all the claims you should be. Use NPIxray's data to hold your billing company accountable.

How accurate is the revenue gap analysis?

NPIxray uses official CMS Medicare data covering 1.2M+ providers. Revenue gap estimates are based on the difference between your actual billing patterns and your specialty peer benchmarks, using real Medicare reimbursement rates. The data is as accurate as the CMS source.

What if my practice is already well-optimized?

Run the free scan and find out. If your coding distribution and care management adoption match or exceed your specialty benchmarks, NPIxray will confirm that. Most practices discover at least one significant opportunity they were not aware of.

I do not understand Medicare data — will I understand NPIxray?

NPIxray translates complex Medicare data into simple, actionable insights. You do not need to understand CMS datasets or coding statistics. The platform tells you specifically what to do, why, and how much revenue is at stake in plain language.

Scan Any Provider's Revenue

Enter any NPI number to instantly see missed revenue from E&M coding gaps, CCM, RPM, BHI, and AWV programs.

Run Free Scan