Once all data are posted to a patient's account, the claim can be reviewed for accuracy and completeness. Many facilities have internal auditing systems. The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. The auditing system identifies data that have failed edits and flags the claim for correction. These "internal" auditing systems are called

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The term used for internal auditing systems specifically designed for identifying errors in claims is "scrubbers." Outliers are data points that fall outside the normal range of values, groupers are software used to create disease classification based on certain criteria, and encoders are software used to assign codes to medical terms.

Once All Data Are Posted to a Patient's Account, the Claim