Spend verification
Under the Sunshine Act and Anti-Kickback rules, the proof of every payment to a healthcare professional sits in a receipt or document your systems store and never open. The liability is yours whether anyone looked or not.
We read it first.
The gap
The amount lands in a report. The proof sits in an image nobody opens.
A $90 dinner. The total is in the system. But what was ordered, whether there was alcohol, who was actually at the table — the things that decide whether the spend is defensible — live in a receipt photo your systems stored and never read. That image is exactly where the risk hides.
Why it matters
The rules don't care whether anyone opened the file.
Reporting obligations attach to the payment, not to whether your team reviewed it. Enforcement is rising — CMS has expanded its audit guidance and is selecting reporting entities on risk-based criteria, not just at random. The exposure is real, and it is yours to defend.
How it works
01
The full transaction record, plus the receipts, documents and images your systems store but never check.
02
Every transaction is checked. Anything that flags gets a full review with human-like judgment, not a sample.
03
Each finding comes with the reason it fired, ready to act on or to defend in an audit.
What we add
1
Much of the real risk evidence never reaches today's systems. It sits in images and documents. We read it.
2
The review weighs context the way an experienced reviewer would, so the output is usable, not a wall of false positives.
Built for the rules you answer to
Verification, not a black box
Every flag traces to a reason. The trail is built to stand up when someone asks you to defend a decision.
[ Proof points pending sign-off — clients, volumes reviewed, validation ]
It adds to your stack. It does not replace your compliance tools, your vendors or your team.
Complement, not replacementWe'll walk you through a live review of receipts your systems already hold.
Talk to us