BILL-ONLY AUDIT FLOW
VENDOR
Bill-Only
TRAUMA SPEND
Independent Audit
HOSPITAL
Receives a Validated PO Read Bill Only
PURCHASE ORDER
THE PROBLEM
Your Bill-Only Process May Be Working. Your Audit Controls May Not Be.
Hospitals already have systems for creating and processing Bill-Only transactions. The problem is that the existing workflow doesn't necessarily answer a more important question:
Does the Bill Only Make Sense?
Orthopedic trauma is complex. Multiple surgical techniques and implant options can be used to treat the same fracture, creating a level of complexity that can make it difficult for hospitals to identify unnecessary or non-compliant charges.
Trauma Spend Protect™ leverages years of orthopedic trauma surgical technique and implant expertise to review trauma spend, identify potential over-billing, and help hospitals protect their margins.
AUDIT LAYER
BILL-ONLY CREATED
AUDIT
VENDOR RECONCILIATION
HOSPITAL
HOW IT WORKS
Keep Your Existing Bill-Only Process. Add an Independent Audit Layer.
End Over-Billing. Protect Margin
01
Vendor Creates Bill-Only
The vendor continues using its existing Bill-Only process.
02
Bill-Only Submitted to Trauma Spend
The Bill-Only is uploaded or submitted to Trauma Spend
for independent review.
03
Trauma Spend Audit
Independent Audit of every Orthopedic Trauma Bill Only to verify Contract Status, Pricing and if Over Billing has been Identified.
03
Trauma Spend Audits
Our audit engine evaluates pricing, contract compliance, quantity, product rules, and other potential discrepancies.
01
Vendor Creates Bill-Only
The vendor continues using its existing Bill-Only process.
02
Bill-Only Submitted to Trauma Spend
The Bill-Only is uploaded or submitted to Trauma Spend for independent review.
03
Trauma Spend Audits
Each Bill Only is audited for contract status, pricing, usage and if Over-Billing has occurred.
04
Exceptions Are Reviewed and Reconciled with Vendor
Trauma Spend will reconcile any identified discrepancies or Over-Billing with the Vendor.
05
Hospital Receives Verified Bill Only
Each Bill Only purchasing receives is verified and PO Ready
04
Exceptions Are Reviewed
Potential discrepancies are identified and reviewed before the hospital approves the purchase.
05
Hospital Creates PO
The hospital maintains final control and continues using its existing procurement system.
Trauma Spend Protect™ does not require hospitals or vendors to replace their existing systems.
WHAT WE AUDIT
We Don't Just Match the Price. We Ask Whether the Bill Makes Sense.
Contract Compliance
Contract pricing
Contract pricing
Constructs
Item Compliance
SKU / catalog number
Product description
Manufacturer
Approved product
Contract Compliance
Contract pricing
Contract pricing
Capitated pricing
Constructs
Effective dates
Free goods / rebates
Quantity
Quantity billed
Quantity used
Duplicate items
Approved product
Returned / opened products
Contract Compliance
Contract pricing
Contract pricing
Capitated pricing
Constructs
Effective dates
Free goods / rebates
Procedure Logic
Procedure type
Primary vs. revision
Expected implant pattern
Trauma Constructs
Contract Compliance
Contract pricing
Contract pricing
Capitated pricing
Constructs
Effective dates
Free goods / rebates
Contract Compliance
Contract pricing
Contract pricing
Capitated pricing
Constructs
Effective dates
Free goods / rebates
Billing Classification
Potential reusable / single-use discrepancies
Product classification inconsistencies
Items requiring review
Contract Compliance
Contract pricing
Contract pricing
Capitated pricing
Constructs
Effective dates
Free goods / rebates
Vendor Patterns
Recurring pricing errors
Repeated SKU discrepancies
Exception rates
Resolution performance
Contract Compliance
Contract pricing
Contract pricing
Capitated pricing
Constructs
Effective dates
Free goods / rebates
WHAT WE AUDIT
We Don't Just Match the Price. We Ask Whether the Bill Makes Sense.
Contract Compliance
Contract pricing
Contract pricing
Capitated pricing
Constructs
Effective dates
Free goods / rebates
Item Compliance
SKU / catalog number
Product description
Manufacturer
Approved product
Product substitutions
Quantity
Quantity billed
Quantity used
Duplicate items
Returned / opened products
Procedure Logic
Procedure type
Primary vs. revision
Expected implant pattern
Trauma Constructs
Billing Classification
Product classification inconsistencies
Potential reusable / single-use discrepancies
Items requiring review
Vendor Patterns
Recurring pricing errors
Repeated SKU discrepancies
Exception rates
Resolution performance
WHAT WE AUDIT
We Don't Just Match the Price. We Ask Whether the Bill Makes Sense.
Contract pricing
Constructs
Contract pricing
Contract Compliance
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Capitated pricing
Contract pricing
Constructs
Contract pricing
Contract Compliance
Contract pricing
b
Contract pricing
Contract pricing
Contract pricing
Capitated pricing
Contract pricing
Constructs
Contract pricing
Contract Compliance
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Capitated pricing
Contract pricing
Constructs
Contract pricing
Contract Compliance
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Capitated pricing
Contract pricing
Constructs
Contract pricing
Contract Compliance
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Capitated pricing
Contract pricing
Constructs
Contract pricing
Contract Compliance
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Contract pricing
Capitated pricing
FINANCIAL IMPACT
Turn Bill-Only Data Into Financial Intelligence.
Every audited Bill-Only becomes structured data: what was billed, what the contract says, what was used, and how each vendor performs over time.
TRAUMA SPEND INTELLIGENCE™
SAMPLE DASHBOARD
BILL-ONLYS AUDITED
period to date
SPEND REVIEWED
orthopedic trauma
EXCEPTIONS IDENTIFIED
pending review
POTENTIAL SAVINGS
pre-approval
VALIDATED SAVINGS
hospital confirmed
VENDOR COMPLIANCE
contract adherence
EXCEPTION VOLUME BY CATEGORY
Values shown are illustrative placeholders for design purposes.
GENERAL PROCUREMENT AUDIT
Price-to-contract matching
Broad category coverage
Post-purchase review
Limited SKU-level context
TRAUMA SPEND
Orthopedic trauma specialization
Bill-Only, pre-PO review
Construct & procedure logic
SKU and vendor pattern analysis
WHY TRAUMA SPEND
Orthopedic Trauma Is Different. Your Audit Should Be Too.
Orthopedic trauma purchasing carries complexities general procurement audits were never built for:
Implants
Constructs
Bill-Only purchasing
Complex contracts structures
Trauma Constructs
Trauma Spend is designed specifically around these complexities.
Disposables
Consignment
Vendor-specific pricing
Reusable vs. single-use products
Implants
Constructs
Bill-Only purchasing
Complex contracts structures
Trauma Constructs
SOLUTIONS
Three Ways to Control Trauma Spend
FLAGSHIP
Trauma Spend Protect™
Continuous Bill-Only financial control.
Independently audit Bill-Only transactions before they become purchase orders.
Trauma Spend Recover™
Find the money you've already lost.
Historical 6–12 month retrospective audit designed to identify previously missed discrepancies and recoverable savings.
Trauma Spend Intelligence™
See the patterns behind your spend.
Vendor, SKU, facility, procedure and exception analytics designed to identify recurring sources of financial leakage.
VENDOR NATURAL
Independent by Design.
Trauma Spend is independent of orthopedic manufacturers and vendor procurement systems. Vendors do not need to replace their existing Bill-Only process.
The hospital remains the final decision-maker. Trauma Spend identifies potential discrepancies and provides the evidence needed for hospital review.
EXISTING PROCESS
VENDOR
BILL-ONLY
HOSPITAL
PURCHASE ORDER
WITH TRAUMA SPEND
VENDOR
BILL-ONLY
TRAUMA SPEND
Independent Audit
HOSPITAL REVIEW
PURCHASE ORDER
