Bridging Pre-Bill and Retrospective Audits

topics:

auditing

,

pre-bill

,

Revenue Integrity

Posted On :

OVERVIEW

Discover how Cooper University Health Care is transforming coding accuracy by aligning pre-bill validation with retrospective audits to enhance compliance, reduce denials and improve revenue integrity. In this insightful discussion, Maureen Trainer, Director of HIM, and Ashley Nanan, Manager of Inpatient Coding, share real world lessons, strategies and outcomes from their ongoing journey to optimize inpatient and outpatient coding using eValuator.

 

Key Takeaways:

  • How pre-bill validation and retrospective audits complement each other
  • Lessons learned from early challenges and retrospective audit findings
  • How Cooper optimized eValuator’s rules to proactively prevent errors
  • The impact of reducing reliance on retrospective reviews while still leveraging their insights
  • Expanding pre-bill validation into outpatient coding for broader impact

This session is packed with actionable strategies for health systems aiming to reduce denials, streamline audit processes and improve coding outcomes through data-driven collaboration between pre-bill and post-bill teams.