Product
Pre-Bill Audit
A pre-submission claim audit layer that flags potential coding, bundling, and documentation risks for human review. It does not automate coding or modify claims.
Risk categories
Findings are organized into clear categories (e.g., bundling concerns, modifier risk, diagnosis–procedure alignment, documentation clarity).
Evidence and rationale
Each finding includes a concise explanation and supporting reference material your team can verify.
Configurable workflow
Adjust thresholds, priorities, and routing so the tool supports your staffing reality and policies.
What it is / What it is not
It is
- Pre-submission review
- Decision-support findings
- Audit-style documentation
It is not
- Automated coding
- Claim submission
- Clinical decision support
Best fit
- Revenue integrity teams
- Compliance review
- Coding/HIM support