Hospital Bill Audit

Identifies Overcharges, Validates Undercharges

Ensuring Accuracy

Industry-acknowledged validation expertise and efficient claims prescreening set DataMetrix Hospital Bill Audit (HBA) apart. Our thorough process also helps prevent claim disputes by ensuring contract compliance. In short, choosing DataMetrix for HBA services adds up to savings.

Our HBA Service

  • Screens for suitable claims
  • Ensures onsite line-item review by RN, CMAS that identifies overcharges and validates undercharges
  • Secures settlement agreement sign-off
  • Provides a detailed audit findings report

Not all claims are strong candidates for HBA — screening is key. Because DataMetrix tracks all claims statistics we know which ones yield the best success rate. Once screened, claims are referred to our expert audit team where they are carefully compared for accuracy against the patient health record. Our team works to secure sign off on a settlement agreement. In addition to providing an opportunity to recoup revenue and confirm contract compliance, this process may also uncover flaws in the coding and/or billing process and provide important site feedback that could minimize future disputes. We are so confident in the quality of our services, we provide our clients with detailed audit findings—an added benefit that no other company in the industry offers.

By identifying costly billing overcharges, authenticating undercharges and ensuring contract compliance, we deliver results that add up to savings.

Hospital Bill Audit

Identifies Overcharges, Validates Undercharges

Ensuring Accuracy

Industry-acknowledged validation expertise and efficient claims prescreening set DataMetrix Hospital Bill Audit (HBA) apart. Our thorough process also helps prevent claim disputes by ensuring contract compliance. In short, choosing DataMetrix for HBA services adds up to savings.

Our HBA Service

  • Screens for suitable claims
  • Ensures onsite line-item review by RN, CMAS that identifies overcharges and validates undercharges
  • Secures settlement agreement sign-off
  • Provides a detailed audit findings report

Not all claims are strong candidates for HBA — screening is key. Because DataMetrix tracks all claims statistics we know which ones yield the best success rate. Once screened, claims are referred to our expert audit team where they are carefully compared for accuracy against the patient health record. Our team works to secure sign off on a settlement agreement. In addition to providing an opportunity to recoup revenue and confirm contract compliance, this process may also uncover flaws in the coding and/or billing process and provide important site feedback that could minimize future disputes. We are so confident in the quality of our services, we provide our clients with detailed audit findings—an added benefit that no other company in the industry offers.

By identifying costly billing overcharges, authenticating undercharges and ensuring contract compliance, we deliver results that add up to savings.