What internal auditing system runs each claim through a set of edits for accuracy and completeness?

The internal auditing system that runs each claim through a set of edits for accuracy and completeness is the scrubber. A scrubber is a software tool used in healthcare billing that checks claims for errors before they are submitted to payers. It identifies potential issues such as missing information, incorrect codes, or other discrepancies that could lead to denials or delays in payment.

Using a scrubber helps ensure that claims are clean and compliant with the necessary guidelines and regulations, thus improving the overall efficiency of the billing process and reducing the likelihood of rejected claims. This is vital for healthcare organizations as it promotes timely revenue cycle management and enhances cash flow.

Other options, while related to claims processing, do not specifically focus on the initial editing for errors and completeness that a scrubber performs. Pre-authorization systems are concerned with verifying coverage before services are rendered, overpayment reviews focus on auditing and identifying any overpayments after claims have been paid, and the claim adjustment process addresses changes to the payment amounts after claims have been processed.