Case Studies

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eValuator’s $31M Cash Impact Validated Via 835 Remittance Analysis

After implementing eValuator, the client aimed to confirm its financial impact by analyzing 835 remittance data for inpatient claims. A post-payment analysis comparing actual reimbursements with pre-billing predictions validated eValuator’s impact, demonstrating that correcting approximately 2,300 under-coded encounters increased inpatient…

Uncovering a Half-Million Dollar Billing Error

RevID’s advanced clinical activity routing and charge reconciliation process identified a misclassification of a billable procedure, correcting a systemic EHR charge build issue worth over half a million dollars. This ensured accurate reimbursement for all services rendered, highlighting the critical…

eValuator Uncovering Needles in the Haystack

Coding integrity audits today generally share one characteristic in common: the reviewed claims make up only a small percentage of those billed. But, if you are only reviewing a portion of your billed claims, what “golden needles” might you be…