For dramatic change, begin at the beginning
As most physicians will tell you, “prevention is the best medicine.” Relying on a reactive approach to coding optimization, such a post-bill audits, isn’t going to move the needle in terms of improved financial results. The complex coding requirements for COVID-19 care are already threatening revenue from these patients. Take into account the challenges of ensuring optimized compliant reimbursement from your growing outpatient services, and the need for a ‘new normal’ begins to reach critical mass.
How can you capitalize on this situation to transform your revenue cycle quickly and easily? Pre-Bill Revenue Integrity as a Service is a powerful new approach to optimizing coding accuracy and revenue integrity, based on the eValuator™ platform. This hybrid solution uses automated pre-bill coding analysis and revenue integrity expertise. It provides definitive insight into coding and charge accuracy issues prior to billing so you can prevent revenue leakage, denials and compliance exposure.
Instant impact on coding accuracy and revenue integrity
The eValuator platform delivers automated pre-bill coding analysis of 100% of cases (inpatient and outpatient). It gauges each case based on Likelihood of Error as well as Financial Impact, which is used for automated case prioritization and routing to your designated resource. And by flagging potential undercoding and overcoding issues, it drives true revenue integrity, not just revenue recovery.
For any flagged issues, it returns narrative advice with the rationale and recommended corrections. And since this all happens in real-time, cases can be reviewed, corrected and sent to billing with no additional hold.