Validation

Evidence you can check, finding by finding.

Works with the record you already run

Where the evidence stands

What has been shown, and what has not yet.

A result means something only beside the conditions it was measured under. Each phase says what it can show, and where it stops.

Phase 1Complete

A baseline on a curated synthetic cohort

Can show

A baseline, and how often physicians and the engine disagree.

Cannot show

Anything about your population, your payer mix or your documentation habits.

Phase 2Underway

Physicians adjudicate every chart-audit finding

Can show

Whether each kind of finding holds when a physician checks it against its source line, in both directions.

Cannot show

How it performs on a live department's charts. That starts with the first pilot.

NextNot started

Prospective calibration at a pilot site

Can show

Performance on a live population, with its own payer mix and documentation culture.

Cannot show

Nothing is published from it until the work supports it.

Why every finding carries its line

A flag your coder can close in one look.

A flag that cannot be checked against the chart adds work instead of saving it. Every V3ra finding carries the line it rests on and the rule it applies, so it can be confirmed or dismissed where it stands.

Claim line · E11.9Needs review
E11.9 billed; the note says poorly controlled The line it rests on

Type 2 diabetes, poorly controlled. Glucose 248.

The rule

Poorly controlled type 2 diabetes codes to E11.65, with hyperglycemia.

Phase 1 · curated synthetic cohort

The baseline, one encounter at a time.

1,122Encounters scored
1,228Physician evaluations
3Physicians, scoring independently
Each evaluation scored
  • Diagnostic accuracy
  • Differential completeness
  • Triage appropriateness
  • Billing accuracy
Each point is one encounter scored in Phase 1. No accuracy figure is published from this cohort.
Reading any vendor's number

What sits under an accuracy figure.

of were by on of .

The figure

A number means something only with everything after it. Ours is published when Phase 2 supports it, and not before.

Adjudicate one yourself

Would this finding survive your compliance team?

From the chart

Emergency department. Reproducible chest wall tenderness after lifting. No tests ordered. Ibuprofen advised; discharged home. 80 minutes documented at the bedside.

The finding 99285 billed; the note supports 99283

Choose a verdict to see the rule.

What Phase 2 publishes

A report your auditor would recognise.

The shape a payer or an external auditor already works in. Its values stay empty until the adjudication supports them.

Before you sign

Ask us what you would ask any vendor.

Yes

Send a sample of completed encounters with the claims billed on them. A BAA is signed before anything is sent, and we walk through every finding with the line it rests on.

Start with a sample

The best validation is on your own charts.

Send completed encounters with the claims billed on them. Every finding comes back with the line it rests on, and we walk through each one with your team.

You send
  • Completed encounters
  • The claims billed on them
You get back
  • Every finding, with its line and its rule
  • Both directions: revenue and exposure
  • A walkthrough with your coders

A BAA is signed before anything is sent.