To offset this, some providers are engaging HIT partners that can help them creatively leverage technology, delivering scalability to both the ‘art’ and the ‘science’ of accurate coding. The result of this initiative is driving major financial improvements in the mid revenue cycle arena.
An example of this approach is how the HIM and Revenue Cycle Management teams at a large health system in Southern Texas are working with Streamline Health to optimize revenue integrity and financial performance across the health system. Using Streamline’s rules-based eValuator platform for automated coding analysis prior to billing, the health system can assess coding for its Inpatient and Outpatient encounters. eValuator flags cases with potential undercoding and overcoding issues, quantifying and prioritizing each so its team can focus pre-bill reviews on the highest impact cases.