A 10-question diagnostic to surface whether a billing operation is quietly leaving money on the table and creating clawback exposure at the same time.
Bringing billing in-house is often presented as a margin play. It is -- when the operation is mature. When it is not, in-house billing produces the worst of both worlds: under-billed claims (revenue left on the table) and over-coded patterns (clawback exposure) -- both produced by the same root cause: blind billing.
This diagnostic walks through ten symptoms that -- taken together -- predict whether a prospect is on a path to a Special Investigations Unit (SIU) letter and a 90-day scramble. Use it with the prospect, not at them. Every answer is a teaching moment.