Questions to ask any Revenue Integrity & Pre-Bill Review vendor

Every vendor in this category demos well. These are the questions that separate a product that will work on your volume, payer mix, and staff from one that works in the sales deck. Take them into the demo.

1. 1

   What net new revenue per 10,000 discharges do customers like us actually realize?

2. 2

   What share of your findings do our CDI and coding teams accept versus dismiss?

3. 3

   Does the review run pre-bill on 100% of charts, or a sample?

4. 4

   How is each finding evidenced back to the chart for physician review?

5. 5

   How do findings route into existing CDI workflows without a new queue?

6. 6

   What is the pricing: contingency on found revenue, or a platform fee?

7. 7

   How do you avoid pushing aggressive coding that raises audit risk?

8. 8

   What happens to our results if we change EHRs mid-contract?