Identifying patient safety indicators prebilling in software

We are attempting to identify PSIs that have not been reviewed concurrently (we do not yet have enough CDS staff to review 100% of admissions) prior to final billing.  Has anyone been able to create programs in their encoder software that flags the coder to put the bill on hold when a chart is a potential PSI?  For example coder codes the chart, the codes include codes that would flag for PSI #13 (an elective surgery+sepsis with POA of no), the encoder software recognizes this and then prompts coder to put chart on hold for 2nd level review.  

We have spoken with our vendor, but I curious if there is anyone else out there doing this.

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