DATAIX
PROPRIETARY METHODOLOGY

FORT

FORENSIC OPERATIONS REVENUE TECHNOLOGY

FORT is the reconciliation engine at the center of every Dataix engagement. It was built to surface revenue that exists in the intersection of three data streams that no existing platform was designed to connect simultaneously. What it finds has never been formally measured before.

3

Data streams reconciled simultaneously

First

Engine of its kind in forensic healthcare revenue

100%

Of findings independently verifiable

WHY FORT EXISTS

Every organization has three versions of the truth. FORT finds where they diverge.

Clinical systems record what was delivered. Billing systems record what was invoiced. Payer systems record what was paid. These three systems were designed independently, built on different data standards, and have always reported in isolation.

The gap between them is not an error. It is a structural condition. Revenue disappears into it quietly, every billing cycle, without triggering any alert in any system the organization already operates.

Standard revenue cycle management platforms were not built to see this gap because they operate on one data source at a time. Independent audits identify pieces of it but require months and teams of analysts to do manually what FORT does in hours.

FORT was designed from the ground up to operate across all three data streams simultaneously — at the individual account level — and to produce findings that are immediately actionable by the organization's existing billing team.

WHAT FORT IDENTIFIES

Five categories of recoverable revenue. Identified in hours.

CHARGE TRIGGER FAILURES

Procedures physically performed and documented in clinical records that never generated a corresponding billing entry. The procedure happened. The revenue was never claimed.

PAYER CONTRACT RATE MISMATCHES

Claims submitted against prior-year or incorrect contracted rates rather than current negotiated terms. Every affected claim in the dataset is systematically underbilled from the moment it is submitted.

REMITTANCE DRIFT

Payer remittances settled below contracted amounts without formal dispute or appeal. Underpayments accepted as contractual adjustments when the contract says otherwise.

CLINICAL DOCUMENTATION GAPS

Procedures and services documented in clinical systems that do not appear in the billing record due to interface failures between clinical and financial platforms. Most common in post-acquisition integration environments.

OBSERVATION MISCLASSIFICATION

Patients classified as observation status when clinical complexity and length of stay indicate inpatient level care. The revenue difference between observation and inpatient admission is material at scale.

THE DISTINCTION

FORT does not audit. It reconciles.

Traditional revenue cycle audits examine one data source against a standard. They identify what was billed incorrectly or denied. They operate after the revenue has already been lost and require weeks of manual analysis to surface findings that a billing team then has to interpret and act on independently.

FORT operates differently. It ingests raw data from all three sources simultaneously and runs a forensic cross-reference at the encounter level. The output is not a report of observations. It is a line-item document showing exactly which accounts have gaps, what the gap is, and what action recovers it.

The methodology is proprietary. The data processing architecture is built specifically for healthcare billing environments. FORT adapts to any data format a hospital or health system can export — it does not require system access, credentials, or IT involvement.

Every finding FORT surfaces is independently verifiable against the source data provided. There is no estimation. There is no inference. There is reconciliation — the most fundamental act in financial analysis — applied to a layer of healthcare revenue that has never been formally measured before.

WHAT A FORT ENGAGEMENT PRODUCES

Three certified documents. Delivered within the engagement period.

RECOVERY HIT LIST

A structured line-item export of every identified gap. Formatted for direct use by the Client's billing and revenue cycle team. Each item includes the encounter, the gap category, the dollar amount, and the specific action required. No interpretation needed.

REVENUE INTEGRITY REPORT

A comprehensive analytical report covering methodology, findings by category, facility and payer breakdown, and a prioritized recovery roadmap. Structured for presentation to CFO, audit committee, or board.

REVENUE INTEGRITY CERTIFICATE

A signed certification by Dataix attesting to the scope, methodology, and findings of the engagement. Suitable for board documentation, regulatory submission, transaction due diligence, and investor reporting.

WHERE FORT IS DEPLOYED

The gap is largest where complexity is highest.

POST-ACQUISITION INTEGRATION

Legacy clinical systems bridging to new billing infrastructure create the conditions where FORT finds the most material gaps. The 12 to 18 months following a hospital acquisition represent the highest-risk window in healthcare revenue integrity.

PRIVATE EQUITY PORTFOLIO MANAGEMENT

Pre-exit revenue integrity certification across multi-site portfolios. FORT provides the forensic documentation that protects data room integrity and supports transaction valuation.

BANKRUPTCY ESTATE RECOVERY

Identification and certification of recoverable revenue within active Chapter 11 estates. Findings structured for bankruptcy court submission and creditor recovery proceedings.

ACADEMIC MEDICAL CENTER RECONCILIATION

Teaching physician billing, research fund flow, and multi-entity reconciliation across complex institutional environments where standard revenue cycle platforms were not designed to operate.

“FORT does not generate recommendations. It produces a verified account of what is owed, where it is, and what recovers it. Every finding is documented. Every dollar is traceable. Every certificate is signed.”

DATAIX — FORENSIC OPERATIONS REVENUE TECHNOLOGY
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