• Provides electronic audits, with CCA^® , for all inpatient and outpatient itemized bills, for accurate charging and compliant billing
• Audits bills based on multiple sources with more than 1,600 rules
• Flags charging issues based on clinical practice guidelines and Medicare coding requirements
• Updates to rules are performed daily as needed and new rules are introduced monthly
• Offers ability to develop custom rules
• Identifies net revenue impact of missing charges based on client-specific contract terms
• Allows timely audit of charts based on net revenue opportunity, gross charges or bill age
• Reduces staff time associated with manual reviews and costs involved with rebilling
• Allows process improvements and increases first-pass rate of claims 

* HFMA staff and volunteers determined that this
product has met specific criteria developed under
the HFMA Peer Review Process. HFMA does not
endorse or guaranty the use of this product.

• Augments existing staff’s ability to capture lost revenue on retrospective accounts
• Provides resources to review, identify and recover lost revenue on billed accounts
• Performs ongoing retrospective reviews on a contingency fee basis