Healthcare Audit

A healthcare audit is an independent examination of a provider’s financial statements under U.S. GAAP that results in an auditor’s opinion. It centers on the areas that matter most in healthcare: net patient revenue, contractual allowances, and the estimates that drive both. Because payment flows through Medicare, Medicaid, and commercial payors at negotiated rates, the audit focuses heavily on how revenue is measured and how well the organization estimates what it will actually collect.

• Hospitals and health systems with lender, bond, or board requirements.
• Physician groups and medical practices, including private-equity-backed platforms.
• Senior living communities and skilled nursing facilities.
• Ambulatory surgery centers, behavioral health, and specialty providers.
• Organizations participating in the 340B drug pricing program.

• Net patient revenue and third-party payor contractual allowances, along with the estimates behind them.
• Medicare and Medicaid cost report exposure and related settlement receivables and payables.
• 340B program eligibility, inventory, and duplicate-discount risk.
• Bad debt, charity care, and implicit price concessions under ASC 606.
• Regulatory reimbursement changes that shift how and when revenue is recognized.

Modus helps you get a healthcare audit that keeps pace with your revenue cycle. Our AI-native platform ingests remittance, billing, and general ledger data, links every conclusion back to source documents, and surfaces payor and revenue anomalies early. The result is fewer requests during a season when your revenue-cycle team is already stretched thin, and answers your board and lenders can trust.

• Top-firm audit quality at a middle-market price.
• Deep reimbursement and revenue-cycle expertise across provider types.
• A roughly four-week turnaround from a genuinely AI-native process.
• Source-linked support that makes lender and board reporting straightforward.
• Up to about 50% fewer questions for your finance team.