Use Streamline Health® eValuator™ for:

Automated Pre-Bill Coding Analysis for Hospital Outpatient Revenue Integrity

As patient care increasingly shifts to more cost-effective outpatient settings, providers are discovering that unique “hard” and “soft” coding requirements make it much more difficult to ensure revenue from these services is fully compliant and optimized.

Hospital outpatient coding and payment outcomes are directly linked to CPT/HCPCS codes that are assigned not only by HIM coding professionals, but also by point-of-service charge capture staff. Streamline Health eValuator analyzes both hard and soft coded data for each outpatient encounter and identifies those encounters with likely incorrect elements and associated payment outcomes.

By analyzing both hard and soft coded data, eValuator enables your organization to prioritize and address the most impactful issues. It also helps identify root causes and establish sustainable best practices for outpatient revenue integrity.

Achieve Outpatient Revenue Integrity with:

Proprietary and Custom Rules

Robust rulesets enable comprehensive review of each encounter, including hard and soft coding along with relevant supporting materials, to improve accuracy, optimize revenue, and mitigate compliance risk.

Easy Implementation and Integration

Cloud-based eValuator is easily implemented and maintained. It integrates with existing EHR, encoder and billing systems to minimize disruption to existing processes and deliver fast ROI.

In-Depth Advice

Flagged encounters are returned with real-time narratives on suspected issues to support corrective action. This helps assure claim accuracy while also educating coders and charge capture staff to help improve their performance over time.

Prioritized Review & Flexible Routing

Automatically creates coding confidence value and estimated financial impact rating to identify the highest impact opportunities, then automatically routes to the preferred resource for review.

Interactive Dashboards & Reporting

Dashboards display custom KPIs to monitor operational and financial performance, including hard and soft coding issues. For root cause analysis, robust reporting offers summaries with drill-down capabilities for more actionable insights.

Delivering the Powerful Features You Need

  • Automatically scans 100% of cases, pre billing or post billing
  • Reviews hard coded and soft coded elements
  • Provides real-time narrative advice on what needs correction and why
  • Flexible grading criteria and workflows to optimize impact using existing resources
  • Cloud-based and easy integration with existing systems

Confirm Compliance and Optimize Outpatient Revenue

  • Cost-effective approach to analyzing outpatient coding
  • Provides narrative feedback for coding staff development
  • Coding analysis based on coding, code staff, department, facility and enterprise wide
  • Confirms compliance and optimizes revenue integrity
  • Offers fast ROI while driving sustainable improvements

The Next Generation Approach to Driving Revenue Integrity Across the Enterprise

Streamline Health eValuator delivers automated pre-bill analysis of inpatient, outpatient and pro-fee coding. Backed by our experienced Auditing Services team, Streamline Health is your full-service partner for revenue integrity across the enterprise.

Quality is the New Revenue

Learn how Streamline Health solutions can Optimize your Revenue Cycle
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