Pre-Submission Claim Audit
Decision-support review before claims are submitted.
PreBillAudit helps revenue integrity and compliance teams identify potential coding, bundling, and documentation risks before claims leave the hospital. Findings are presented for human review with clear rationale and supporting references.
Who it’s for
Revenue Integrity
Prioritize review where risk is highest and reduce rework caused by late discovery.
Compliance
Get consistent, documented rationale that supports defensible decisions.
Coding / HIM
Surface potential mismatches and documentation gaps early—while there’s still time to resolve.
Deployment
Local control
Deployed on hospital-controlled infrastructure to align with data governance requirements.
Parallel workflow
Designed to run alongside existing QA and edit processes as a second-look audit layer.
Clear boundaries
Outputs are advisory only. Staff remain the final authority on coding and submission.