.: SunStone Consulting | Healthcare Reimbursement & Regulatory Solutions :.

E-Review, SunStone’s electronic billing program will revolutionize your inpatient MS-DRG billing. That’s because we review 100% of MS-DRG inpatient claims to ensure accuracy and compliance with billing regulations. Certified coders and nurses perform all reviews and correct errors prior to transmittal, resulting in correctly billed claims…the first time.

Compare E-Review to your inpatient billing process

Provider codes record(s)
Provider submits record(s) to SunStone
SunStone performs compliance review
Claims returned and adjusted per SunStone recommendations
Claims transmitted to payer Provider receives payment

The Result?

Claims are billed correctly, third-party PRO reviews are eliminated and incremental revenue is delivered through capture of diagnoses missed in the normal billing process. Additionally, you can count on maximum cash flow and reduced "bill-hold" claims because all records are reviewed within 24 hours.

Documentation Accuracy Program (E-Review)

The Result?