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.
Client Case Studies
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.
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.
Switching from an outdated manual coding audit program to tech-enabled pre-bill eValuator increased the average DRG change rate from 10% to 18%, boosted auditor productivity and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.