iBill Review

Prepay Claim Review

Savings Identified

DataMetrix performs pre-pay audits on select claims that can substantially reduce bill totals and prevent unnecessary loss of revenue. iBill Reviews have long-term benefits as well. Uncovering flaws in claim processing often results in better contracts and billing practices.

Service Overview

  • Pre-pay audit
  • Inpatient
  • Contracted & non-contracted claims — Medicare language — Medicare guidelines
  • No medical records needed

We begin by reviewing the itemized bill to ensure that all charges are correct and relevant. Checking for documentation issues, DataMetrix uncovers errors such as those for unbillable “routine medical supplies”. Once the audit is performed, the results and an explanation of charges are supplied to the payer. The bill is then paid at the discounted rate. Our experienced auditors provide the expert attention to detail required to screen for those claims most likely to succeed. Once reviewed, we supply our clients with a detailed audit report.

Done on a pre-pay basis on both contracted and non-contracted claims, prepay audits can become a negotiation tool also.

iBill Review

Prepay Claim Review

Savings Identified

DataMetrix performs pre-pay audits on select claims that can substantially reduce bill totals and prevent unnecessary loss of revenue. iBill Reviews have long-term benefits as well. Uncovering flaws in claim processing often results in better contracts and billing practices.

Service Overview

  • Pre-pay audit
  • Inpatient
  • Contracted & non-contracted claims — Medicare language — Medicare guidelines
  • No medical records needed

We begin by reviewing the itemized bill to ensure that all charges are correct and relevant. Checking for documentation issues, DataMetrix uncovers errors such as those for unbillable “routine medical supplies”. Once the audit is performed, the results and an explanation of charges are supplied to the payer. The bill is then paid at the discounted rate. Our experienced auditors provide the expert attention to detail required to screen for those claims most likely to succeed. Once reviewed, we supply our clients with a detailed audit report.

Done on a pre-pay basis on both contracted and non-contracted claims, prepay audits can become a negotiation tool also.