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Sevynox
Billing & Revenue

Protecting revenue before it ever becomes a claim.

Chargemaster accuracy, charge capture audits, and pricing transparency compliance in one program.

0.0%

Average net revenue lift

0%

Departments covered in CDM review

Quarterly

Chargemaster audit cadence

Overview

How Sevynox approaches revenue integrity

Revenue integrity sits upstream of billing entirely — it's about making sure the chargemaster, charge capture workflows, and pricing are accurate before a claim is ever generated. Sevynox runs ongoing chargemaster reviews and charge capture audits across departments.

We also support price transparency compliance, keeping your published pricing files and estimator tools aligned with actual contracted rates.

Benefits

What changes once this is running.

Chargemaster accuracy

CDM entries reviewed against current CPT/HCPCS and payer requirements.

Charge capture audits

Department-by-department review of what's actually billed vs. rendered.

Price transparency compliance

Published pricing files kept current and audit-ready.

Cross-functional visibility

Findings shared across coding, billing, and clinical departments.

Process

How an engagement actually runs.

01

Chargemaster audit

Line-by-line CDM review against current coding and payer guidance.

02

Department charge capture review

Clinical documentation is compared against what's actually billed.

03

Gap remediation

Corrections are implemented with the department, not just flagged.

04

Ongoing monitoring

Scheduled reviews keep the chargemaster current as codes and contracts change.

Features

What's included.

CDM maintenance

Continuous updates as codes, modifiers, and payer rules evolve.

Department-level audits

Charge capture reviewed against clinical documentation by service line.

Price transparency support

Machine-readable files and consumer estimator tools kept in sync with contracts.

Compliance documentation

Full audit trail for regulatory and internal compliance review.

Technology

The AI layer behind this service.

Automated CDM scanning

Continuous checks flag outdated or non-compliant chargemaster entries.

Charge capture analytics

Department-level charge variance is surfaced automatically for review.

Pricing file automation

Published pricing stays synchronized with contract updates without manual rebuilds.

Case Study

Community hospital system, 3 facilities

Challenge — A community hospital system's chargemaster hadn't been comprehensively reviewed in over three years, resulting in outdated codes and inconsistent charge capture across departments.

Approach — Sevynox conducted a full CDM audit alongside department-level charge capture reviews, then established a quarterly maintenance cadence.

0.0%

Net revenue lift in year one

0

Outdated CDM entries corrected

0%

Price transparency file compliance achieved

FAQ

Questions we hear most.

See what revenue integrity looks like on your own claims.

A working session with our team, scoped to your specialty mix and payer contracts — not a generic slide deck.