What does having a Registered Nurse on the team actually change? +
Healthcare software usually fails on workflow, not code. Our healthcare engagements are led by a BSN-RN with over ten years of experience across healthcare, including critical care and clinical data work, so the review starts from how care is actually delivered and documented. That perspective is uncommon among technology firms and it changes which problems get solved first.
Can this reduce what we lose to payer recoupments? +
That is the point of auditing the full population rather than a sample. Recovery audits, whether from a commercial payer, a RAC contractor, or a payment-integrity vendor, look for repeated patterns: a code that documentation does not support, unbundling, duplicate charges, or timing that breaks a payer rule. Those patterns are exactly what continuous automated review surfaces first, while you can still correct the claim or the template producing it. For claims already paid, the same analysis tells you where you are exposed before a demand letter does, and the retained evidence supports an appeal rather than a write-off.
Can you help with SOC 2 as well? +
Yes, and it has its own path. See SOC 2 readiness and attestation support for how we prepare the controls and evidence, then connect you with licensed CPA firms in our network to perform the examination.
How is an automated revenue-cycle audit different from what our billing team already does? +
Coverage. Manual review examines a sample, usually after a payer has already flagged something. We are a technology company, so we review the entire population of encounters with rules and models running continuously. That finds systematic patterns, such as a documentation template that consistently under-supports a code, which sampling is unlikely to catch and which compounds into retroactive adjustments.
We are not a healthcare organization. Is this relevant to us? +
This is one of several outcome paths, not our whole business. The same engineering, data, and cloud teams serve clients across industries. Healthcare simply happens to be an area where we hold a clinical credential in addition to the technical one.