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ORINOVA GROUP
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Medical Payment Posting Quality Assurance

Test whether posted payments and adjustments match the source - before errors spread across balances and reports.

OriNova performs sample-based payment posting quality assurance using approved EOB, ERA, batch, and billing-system evidence. The review identifies posting differences, missing transactions, incorrect patient responsibility, adjustment issues, and control weaknesses that require client correction or process improvement.

Request a Payment Posting QA conversationSee a sample deliverable
Business-only discovery firstNo bank accessEvidence and scope controls

Who this service is for

  • Practices using ERA auto-posting with manual exceptions
  • Billing teams onboarding new staff or vendors
  • Organizations concerned about patient balances or adjustment accuracy
  • Leaders who need an independent posting-quality sample

What OriNova reviews

  • Payer payment on the remit versus system posting
  • Patient responsibility on the remit versus system posting
  • Contractual and other adjustment posting
  • Remaining balance after posting
  • Missing, duplicate, reversed, or overposted transactions
  • ERA batch, deposit, and audit-trail evidence when available
  • Correction owner, approval, and completion evidence

Operational and reimbursement risks this can surface

  • Incorrect patient balances
  • Missing or duplicate payments
  • Contractual adjustments posted incorrectly
  • Deposit or ERA batch totals not matching the system
  • Exceptions corrected without documented approval or QA

What the client receives

  • Payment posting QA exception log
  • Posting accuracy and exception-rate summary
  • High-severity correction review list
  • Root-cause and control observations
  • Recommended QA sample and escalation procedures
Important scope reminderOriNova provides analytical review, operational assessment, documentation, and reporting support. Findings do not authorize coding changes, payer submissions, claim corrections, appeals, write-offs, or guaranteed recovery. Items requiring payer-specific research, qualified coding or clinical review, legal review, or client confirmation are clearly flagged.

How the engagement works

1. Define

Define the sample, period, posting methods, and tolerances

2. Receive

Receive approved source and system evidence

3. Compare

Compare each financial field and remaining balance

4. Classify

Classify severity, ownership, and correction requirements

5. Complete

Complete QA and deliver findings with supporting evidence

Frequently asked questions

Is this the same as bank reconciliation?

No. OriNova does not require bank access. Deposit or batch evidence may be included only when approved and necessary to reconcile payment activity.

Will you make the posting corrections?

Not under the standard scope. OriNova identifies and documents differences; the client approves and performs corrections.

Can this be used to evaluate a billing vendor?

It can provide a controlled sample of posting accuracy and process observations, but conclusions should remain limited to the reviewed population and evidence.

Need clearer payment posting qa findings?

Start with a short business-only conversation to define the question, scope, and evidence.

Request a Conversation