Abstract: A systematic audit of payment amounts for collections received for billed service is performed to identify payment discrepancies. Prices are assigned to service codes by government payers and private insurance companies with numerous variations. Each type of price model and variant is stored in a data repository. The price model may be categorized and applied per facility and per payer. Payment amounts are analyzed for price and billing code accuracy to determine whether the received payment accurately reflects the pricing model.

Abstract: A historical analysis of collections derived from professional services is undertaken to determine an average collected value for each particular type of service. Each type of collection is categorized by a plurality of criteria placed into a separate repository or category. Each repository is identified with a particular service code and further categorized by the provider of the service and the payer of the service. From that repository, an average amount of collected fees is determined. Prior to displaying this average value, the present invention determines whether the data is reliable by comparing non-zero entries in the repository to zero entries in the repository. Once the ratio of zero entries to non-zero entries is below a certain value, the average collection amount is released for viewing.