Itemized Bill Review demo
Every line of a high-dollar hospital bill checked against the medical record and the contract; the auditor signs each finding. 1:14
What the demo shows
A payment integrity solution that checks every line of a high-dollar bill against the chart.
Six agents read the itemized bill and the medical record and line them up by time. Every charge sits beside the medication record, note or implant log that supports it, or a gap. Charges after discharge, duplicates, supplies already in the room rate and implants over the log are struck through as the reduction counts up. The auditor signs each finding, and the physician advisor signs level of care.
Transcript
- Itemized Bill Review checks every line of a high-dollar hospital bill against the chart.
- Auditors only sample these bills, so unsupported charges get paid in full.
- Nadia opens a spinal fusion bill, 2,000 lines for $118,000.
- Agents match each charge to the medication record and nursing notes by time.
- A hydromorphone charge is flagged, billed six hours after the patient was discharged.
- charged. Eight screws billed, six implanted.
- Flushes are already paid in the room rate.
- Nadia signs the findings.
- $25,000 less to pay on one stay.
- The ICU day goes to the physician.
- The letter cites every line.
- Every charge line reviewed.
- Not a sample. And signed by an auditor.
- Built on Botminds.
- Agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.