Bridging Pre-Bill and Retrospective Audits
Discover how Cooper University Health Care is transforming coding accuracy by aligning pre-bill validation with retrospective audits to enhance compliance, reduce denials and…
Tag: auditing
Pre-Bill Blueprint: Building a Successful Pre-Bill Program
This webinar features an insightful roundtable discussion with industry experts on successfully launching a pre-bill auditing program. It covers the essential steps to…
Post-bill Pitfalls: The Hidden Costs of Post-Bill Audits
In today’s complex healthcare revenue cycle, accurate coding and timely billing are paramount. Historically, many hospitals have relied on post-bill audits to identify…
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…
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,…
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