HFMA NJ Fall Forum"Discover Industry Leader" talk on Neurex AIView Event

Pre-Bill Optimization

Fix DRG risk before the claim is sent

AI-driven pre-bill DRG optimization that improves accuracy, protects revenue, and reduces downstream denials before billing.

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Pre-Bill DRG Review

Active Queue: 47 cases

MCC/CC Gap Identified
Review
DRG Sequencing Verified
Approved
Query Pending Response
Waiting

94%

Accuracy Rate

2.1

Avg DNFB Days

40%

Denial Reduction

Why pre-bill accuracy breaks down

The gap between clinical care and accurate billing creates costly downstream problems.

Coding teams work under time pressure

Incomplete clinical clarity and high volume create conditions for missed opportunities.

DRG risk discovered too late

Problems surface only after denial or audit, when correction is expensive and disruptive.

Manual reviews do not scale

Expert reviewers cannot touch every chart, leaving significant revenue exposure unaddressed.

Post-bill correction costs more

Fixing issues after billing delays cash, increases touches, and strains payer relationships.

How It Works

How Pre-Bill Optimization works

Pre-Bill Optimization introduces an AI-first, expert-validated workflow that identifies DRG risk, surfaces documentation gaps, and resolves issues before the claim leaves the building.

01
AI pre-read

Agentic AI reviews the full chart, identifies DRG risk, sequencing issues, MCC/CC gaps, and coding inconsistencies.

02
Coder and CDI collaboration

Senior coders and CDI specialists review flagged cases through a structured queue with AI guidance.

03
Provider query when needed

Targeted, compliant queries are issued only when clarification is required.

04
Finalize DRG before billing

Claims are released with higher confidence, cleaner DRGs, and lower downstream risk.

What health systems see

Measurable improvements across DRG accuracy, DNFB, and denial prevention.

Improved DRG accuracy

Prior to bill drop

Reduced DNFB days

Faster claim release

Lower denial volume

Downstream prevention

Faster coder throughput

AI-assisted workflows

Audit-ready trails

Complete documentation

Operational Framework

Pre-Bill Optimization Workflow, SLAs, and KPIs

Operationally grounded. Measurable. Built for scale.

Workflow

1

Ingestion from EHR via secure HL7, FHIR, or SFTP with auto-triage

2

AI pre-read across DRG, MCC/CC, sequencing, OR vs non-OR

3

Senior coder and CDI validation queues

4

Provider query SLA-bound workflows

5

DRG finalization prior to billing

6

Post-bill monitoring and governance feedback loop

SLAs

AI pre-read within hours of discharge

Full review turnaround typically within 24 to 72 hours depending on case type

Provider query issuance within 24 hours when required

Platform uptime 99.9%

HIPAA-aligned security and access controls

KPIs

DRG accuracy rate

Query acceptance rate

DNFB days impact

Net revenue impact per 1,000 discharges

Audit pass rate

Compliance

Built for compliance and audit confidence

Every recommendation is traceable, every decision is documented, and every workflow is governed.

Every AI recommendation is traceable

Human validation at defined control points

Role-based access controls

Full audit logs and decision history

No model training on customer data

HIPAA Compliant

Full compliance with healthcare privacy requirements

Full Auditability

Complete decision trails for every action

Human-in-the-Loop

Expert validation at critical checkpoints

Data Governance

Strict controls on data access and usage

Technical Architecture

Seamless integration with your revenue cycle

Pre-Bill Optimization connects to your existing infrastructure with minimal disruption and maximum impact.

EHR Integration

Direct connection to Epic, Cerner, Meditech, and other major EHRs via HL7, FHIR, or SFTP.

Billing System Sync

Seamless handoff to your billing system with verified DRGs and complete documentation.

Real-time Dashboards

Live visibility into queue status, outcomes, and revenue impact across all facilities.

Integration Architecture

Secure, compliant, and scalable

EHR Systems
Connected
Billing Platform
Synced
Analytics Engine
Active
Audit Trail
Recording

Ready to optimize your pre-bill workflow?

See how Pre-Bill Optimization can improve DRG accuracy, reduce DNFB days, and prevent downstream denials for your organization.