A coverage analysis is only as good as the monitoring that confirms it was followed. This session covers how to build a research billing compliance monitoring and auditing program that finds problems before a payer or an external auditor does. We will discuss risk-based sampling, what to review, how often, and who should own the work. Topics include reconciling charges against the coverage analysis, identifying the root causes of billing errors, escalating findings, and documenting corrective action. Attendees will also learn how to present audit results to leadership in a way that drives resources rather than defensiveness.