• Electronic Medical Records (EMR)
• Scheduler with Eligibility Test
• Compliance Management
  + Core Elements
  + Regulatory Risks
  + Auditing and Monitoring
  + Documentation Guidelines
  + Audit Exposure Evaluation
• Data Entry and Payment Posting
+ Charge Entry
• Superbill Interface
• Variety of Claim Entry Formats
• Fax
+ Demographic Data Entry

• Coding
  + Coding Consistency
  + Discovery of Undercoding
• Claim Submission to Payers
• Patient Invoicing
• Follow Up
  
+ Discovery of Underpayment

• Transparency, Analysis and Reporting
• Quality Control
  + Billing Process
  • Payment Distributions
  • Days in A/R
  + Claim Validation
  + Patient Eligibility Testing
  
• Data Center
  

“Elimination of undercoding adds up to 3%-15% of total collections.”

Erstad, T., “Analyzing Computer-based Patient Records: A Review of Literature,” Journal of Healthcare Information Management, vol. 17, no. 4. 2003.

Affinity Billing provides audit process monitoring and control mechanism, which includes:
   1. Automatic tests for notes presence prior to claim submission
   2. Tracking for overcoding and audit exposure
       a. Automated identification of suspect claims
       b. Random manual internal audit