IodinePreBill: Close Revenue Gaps Before Claims Go Out the Door

Healthcare systems today face mounting financial pressure. Billions of dollars are lost every year due to inefficiencies in documentation, coding, and claim submission. According to the American Hospital Association, in 2022 alone, U.S. hospitals spent $19.7 billion on appeals—with more than 84% deemed potentially avoidable.

But claim denials are only the symptom. The real problem is systemic:

• Documentation complexity is rising.
• Regulatory pressure is intensifying.
• CDI teams are overextended, with nearly 69% reporting understaffing (ACDIS).

As payer scrutiny grows, concurrent CDI alone can’t protect margins. Short stays, weekend discharges, and post-discharge revenue cycle gaps leave opportunities missed, denials unchecked, and cash flow delayed.

Hospitals need a way to stop revenue leakage pre-bill—without adding headcount or disrupting workflows.

Introducing IodinePreBill

IodinePreBill is an AI-powered solution that enables health systems to identify and resolve missed documentation, coding, and quality opportunities post-discharge, pre-bill. By combining Iodine’s proven Clinical Intelligence Engine with GenAI-driven workflows and clinical consulting expertise, IodinePreBill ensures:

•  More complete, accurate, and compliant documentation.
•  Fewer costly denials and appeals.
•  Faster reimbursement and reduced DNFB.
•  Proven ROI with outcomes-based pricing.

How IodinePreBill Works

IodinePreBill pinpoints the most impactful documentation and coding opportunities, guiding CDI teams through faster, focused reviews. With AI-driven insights, GenAI queries, and built-in impact tracking, it ensures accurate and maximized reimbursement, fewer denials, and measurable results—without adding workflow burden.

Advanced Tools for Boosting Health System Revenue Accuracy

IodinePreBill uses advanced AI to surface the most financially and clinically meaningful opportunities, ensuring documentation and coding accuracy before claims go out the door.

• AI Prioritization: Surfaces only records with the greatest financial and quality impact.
• Auto-Validation of DRGs and ICD-10 Codes: Ensures accuracy, identifies coding gaps, and flags specificity issues.
• Quality Insights: Detects HACs, PSIs, mortality risks, and other quality events tied directly to reimbursement.

Outcome-Oriented Review and Resolution

IodinePreBill streamlines post-discharge reviews with focused insights, GenAI-powered queries, and mobile-enabled workflows that drive faster, more accurate physician engagement.

• Targeted Review: Reviewers focus only on high-value opportunities—no need for 30+ minute chart reads.
• GenAI Querying: Auto-drafted, AHIMA-compliant queries accelerate physician engagement.
• Mobile Workflows: Streamlined, faster responses with 97% response rates and 93% agree rates post-discharge.

Automatic Impact Tracking and Advanced Tools for Reporting

IodinePreBill delivers clear, data-driven visibility into the true financial and quality impact of CDI efforts, with seamless reporting for collaboration and proof of value.

• Seamless visibility: Quantifies the true financial and quality impact of CDI efforts.
• Exportable collaboration: Provides coding teams with clear, clinically supported recommendations.

Why IodinePreBill is Different from Other Healthcare Revenue Solutions

While other vendors rely on rules-based filtering or resource-heavy services, IodinePreBill combines AIAI-powered billing accuracy, service-enabled scale, and platform integration to deliver measurable results from day one.

• Smarter than rules-based solutions: Goes beyond static worklists by applying clinically validated AI insights.
• Stronger than services-only models: Delivers consistent results without adding ongoing per-chart costs.
• More connected than point solutions: Integrates seamlessly with Iodine’s mid-revenue cycle platform, creating a closed-loop CDI ecosystem.

Proven Value with Built-In Impact Tracking

With automatic impact measurement and advanced reporting, IodinePreBill makes it easy to quantify CDI performance, demonstrate ROI, and share clinically supported insights across teams.

•  Health systems have captured $3–4M per month in missed revenue with IodinePreBill.
•  97% post-discharge query response rate.
•  93% query agree rate.
• Powered by an unmatched set of clinically relevant insights:
  • 160M+ encounters
  • 50M+ inpatient admissions
  • 600K+ admissions per month
  • 1.1B+ labs and vitals

Who Benefits from IodinePreBill?

IodinePreBill is designed for the stakeholders most affected by revenue leakage and denials. From finance executives to frontline CDI specialists, every role gains measurable value—whether it’s protecting margins, reducing administrative burden, or improving documentation accuracy.

CFOs and Finance Leaders

• Safeguard operating margins with measurable ROI.
• Outcomes-based pricing ensures no risk—only results.

VPs of Revenue Cycle

• Reduce DNFB and accelerate cash flow.
• Capture the full value of care already delivered.

CDI Leaders and Directors

• Extend team capacity without adding headcount.
• Improve accuracy, reduce rework, and strengthen collaboration.

Physicians and CDIS

• Receive streamlined, pre-drafted queries.
• Respond faster with less administrative burden.

Beyond Pre-Bill: The Platform Advantage

IodinePreBill isn’t just another point solution. It’s part of the Iodine mid-revenue cycle platform, which unites CDI, coding, and physician teams around shared intelligence. By connecting concurrent and pre-bill reviews in one ecosystem, Iodine enables:

•  Earlier identification of risk and revenue gaps.
•  Reduced rework and denials.
•  Stronger CDI performance across the entire workflow.

One vendor. One platform. One source of truth.

Get Started with IodinePreBill

Protect your margins. Reduce denials. Recover the revenue you’ve already earned.

CTA: Book a demo to explore how Iodine Software can transform your billing program.

Success Stories

The data is clear: organizations using Iodine Software’s solutions to improve pre-bill revenue accuracy experience significant improvements.

Case Study 1: AdventHealth

AdventHealth implemented the Iodine suite – including pre-bill CDI products – to enhance its documentation quality. By focusing on targeted CDI reviews at crucial stages, AdventHealth improved reimbursement, reduced billing discrepancies, and minimized audit exposure on a system-wide level.

Case Study 2: Midwestern Academic Medical Center

A leading nonprofit Midwestern academic medical center transformed its utilization management and query workflows with Iodine’s pre-bill interventions. This resulted in faster documentation review turnaround, elevated physician engagement, and the delivery of $12.4 million in annualized revenue improvement.

Reduce Billing Discrepancies Today

By addressing documentation gaps, coding errors, and compliance risks at the pre-billing stage, healthcare organizations can prevent revenue leakage, reduce claim rejections, and improve reimbursement rates. Advanced AI-driven solutions play a pivotal role in enhancing prebilling accuracy, streamlining workflows, and safeguarding financial outcomes for health systems.

CTA: Ready to enhance your organization’s prebilling efforts?  

Get on the right path to improve compliance in billing operations and stop revenue leakage today!