A large healthcare provider implemented a new billing system and needed assistance with auditing the technical charges for lost revenues, mapping out a billing flow process and developing a procedure for training purposes for the ancillary areas. The assignment required a Relevante professional to audit and reconcile the system integration and quality assurance.

A Relevante professional reviewed several days’ technical charges of the company to find numerous errors and discrepancies between the ancillary areas and the billing system. This indicated revenue loss, lack of internal controls and needed training within the organization which were brought to management’s attention.

This professional reconciled all ancillary areas in question, identified lost revenue, created flow charts for each area and a flow chart for the billing cycle including related ancillary interfaces and a procedure document to be used for training purposes. Additionally, a list of recommendations were offered to management.