Client reduced over 600 manual work hours annually and recouped more than $7.5 million in annual net patient revenue by transitioning from a manual charge reconciliation program to adopting RevID.
Client Case Studies
eValuator Corrects 22% of External Vendor-Coded DRGs, Resulting in $1M Financial Impact Over 90-Days
Facing challenges in hiring inpatient coding staff, the client turned to outsourced coding support. eValuator identified a high DRG change rate associated with the outsourced vendor, resulting in the capture of approximately $600,000 in revenue and averting potential overbilling of over $400,000 in the same quarter of the outsourced vendor’s implementation.
Cooper University Health Care Case Study
Cooper University Health Care needed improved results from their auditing program, better reporting (summary & detail) to assess program’s impact, and a greater ROI and opportunities for long-term improvement.
Pre-Bill Transformation Slashed Denials by 90% and Tripled Audits without Extra Staff
Client transitioned from an inefficient, sporadic retrospective coding audit on spreadsheets to a pre bill, real time coding integrity program handling larger audits without extra staff.
Saving IT Resources, Boosting Accuracy, and Enhancing Coding Integrity
Replacing old on-premise inpatient-only technology with cloud based eValuator saved IT resources and boosted auditing impact by millions while enhancing overall revenue integrity.
Transition To Pre-Bill eValuator Increases DRG Change Rate By 80% and Enhances Coding Integrity
Switching from an outdated manual coding audit program to tech-enabled pre-bill eValuator increased the average DRG change rate from 10% to 18%, boosted auditor productivity and identified coder education for improved accuracy.