M/S.PURUHOOTHIKA SOFTCONDUCTOR SERVICES HEVS INDUSTRIES.
(PURUHOOTHIKA TECHNOLOGIES LIMITED).

HOSPITAL INFORMATION MANAGEMENT SOFTWARE(HIMS) DESIGNED AND DEVELOPED.

THIS HIMS ALL RIGHTS ARE RESERVED BY PURUHOOTHIKA.

HOME PATIENT REGISTRATION AND RECORDS APPOINTMENT SCHEDULING BILLING AND INSURANCE

PHARMACY MANAGEMENT INVENTORY AND PROCUREMENT LABORATORY AND DIAGNOSTICS HR AND PAYROLL SYSTEMS

BILLING AND INSURANCE

DEMOGRAPHICS & ID   PAYER MAPPING   AUTOMATED CHARGE CAPTURE   IPD ROOM & TARIFF MANAGEMENT   PACKAGE AND DEAL MANAGEMENT   LEAKAGE

REAL TIME ELIGIBILITY VERIFICATION   CLAIM SUBMISSION & SCRUBBING   DENIAL & REJECTION MANAGEMENT   MULTI MODE PAYMENTS   PRE AUTHORIZATION

END OF DAY SETTLEMENTS   PATIENT PORTAL INTEGRATION   FINANCIAL DASHBOARDS   COMPLIANCE AND AUDIT TRAILS   HOSPITAL HEALTH PACKAGES AND DEALS

LEAKAGE DETECTION

Hospital Claims Leakage Detection Dashboard

Hospital Claims Leakage Detection Portal

Real-time tracking of under-billing, over-billing, and unbundled insurance claims.

Total Claims Audited

1,248

Identified Leakage

$42,350

Leakage Rate

3.4%

Pending Reviews

14

Flagged Anomalies & Leakage Detection

Claim ID Patient Name Detection Rule Triggered Est. Leakage Risk Level Action

#CLM-9021 John Doe Unbundled Laboratory Panels $450.00 Medium

#CLM-9022 Jane Smith Upcoding (ICD-10 Mismatch) $2,100.00 High

#CLM-9023 Robert Johnson Duplicate Room & Board Charge $850.00 High

#CLM-9024 Emily Davis Under-billed Surgical Supplies $120.00 Low

Log New Claim for Audit

Claim ID

Patient Name

Suspected Leakage Rule