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…
Tag: auditing
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,…
eValuator’s Evolving, AI-Driven Ruleset Yields $11.3M of Financial Impact
A proprietary Artificial Intelligence (AI) tool, which continuously analyzes encounter and audit data across all eValuator clients, enabled the creation of new rules,…
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 Harmonious Blend of Pre-bill and Post-bill Auditing
The pursuit of improved performance is top-of-mind for financial leaders. Razor-thin margins, increasing payor delays and denials, staffing costs and operational difficulties make…
Cooper University Healthcare 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…
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