Proactive auditing can pinpoint inaccuracies prebill, before there is any impact on reimbursement.
I recommend prebill auditing to review records of critical cases (e.g., DRGs that have potential for coding error, mortalities, PSIs/HACs, or DRGs with a single complication/comorbid condition (CCs/MCCs).
R&K's time, billing and accounts receivable modules, for example, allow administrators to enter time spent on every project, inquire into a client's account, request a
prebill and invoice a client in an unlimited number of formats.
That includes the data flow that starts at prescheduling, charge master management (hard coding), charge/order reconciliation, HIM processes (soft coding, grouping and abstracting of data), the billing processes (and any
prebill audit processes), and review of remittance data and reconciliation up until final payment.